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KAE Cubs Pediatrics
Home
Meet the doctor
Our Staff
Our Philosophy
Join our practice
Forms
Medication Dosing
Vaccine Schedule
Office Policy
Vaccine Policy
Services
Contact
KAE Cubs Pediatrics
Home
Meet the doctor
Our Staff
Our Philosophy
Join our practice
Forms
Medication Dosing
Vaccine Schedule
Office Policy
Vaccine Policy
Services
Contact
Home
Folder: About US
Back
Meet the doctor
Our Staff
Folder: New Patient
Back
Our Philosophy
Join our practice
Folder: Patient Resources
Back
Forms
Medication Dosing
Vaccine Schedule
Folder: Office Policy
Back
Office Policy
Vaccine Policy
Services
Contact

Patient Forms

  • New Patient Packet

  • Patient Information Form

  • Patient Consent to Treat Form

  • Patient Medical Release Form

  • Financial Policy Consent

  • Patient Cardholder Consent Form

  • Vaccine Refusal Form

KAE Cubs Pediatrics

Location

1535 W. Merced Ave. Suite 306

West Covina, CA 91790

Phone: 626-960-2977

Fax: 626-960-2979

Email: kaecubspediatrics@gmail.com