Forms

Forms

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New & Tranferring Patients

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At Small Town Pediatrics, we work together to support individual well-being, activity, safety, and understanding in order to strengthen our community.

Find Small Town Pediatrics in Your Home Town

Small Town Pediatrics

607 Welch Street
Silverton, OR 97381
(503) 400-3852
Fax: (503) 334-2268
info@smalltownpeds.com

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Sign Up for Email Updates

Request an Appointment Form

Medical Records Transfer Form

Patient Registration Form

Care Hours

IN-OFFICE
Monday-Thursday 9-12 and 1-5, Friday 9-12.

ADDITIONAL APPOINTMENTS – Scheduled as Needed

Before/After Hours, Friday PM and Weekend appointments
Video and phone appointments

For Patients

Small Town Pediatrics

607 Welch Street
Silverton, OR 97381
(503) 400-3852
Fax: (503) 334-2268
info@smalltownpeds.com

Subscribe & Schedule

Sign Up for Email Updates

Request an Appointment Form

Medical Records Transfer Form

Patient Registration Form

Care Hours

IN-OFFICE
Monday-Thursday 9-12 and 1-5, Friday 9-12.

ADDITIONAL APPOINTMENTS – Scheduled as Needed

Before/After Hours, Friday PM and Weekend appointments
Video and phone appointments

For Patients

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