Pediatric Associates
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Online Requests

FORMS & ONLINE REQUESTS TO GET WHAT YOU NEED, FASTER!

Online Office Requests


​Online office requests can help you easily obtain needed forms for your child’s school, camp, or daycare. You may also request prescription refills online. Please allow at least 24 hours for any requests to be processed.
​

Immunization Records
Prescription Refill
School/Camp Medication
School/Camp Physical
Patient Portal Access

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Camillus, NY


​270 Township Boulevard
Camillus, NY 13031 (map)
Tel: (315) 487-1541
Fax: (315) 870–3893

Liverpool, NY


8086 Oswego Rd
​Liverpool NY 13090 (map)
Tel: (315) 652-1070
Fax: (315) 652–4679

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Recognized NCQA Patient-Centered Medical Home
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  • About Us
    • Our Team
    • Our History
    • Practice News
    • Careers
  • Contact Us
  • Portal & Bill Pay
  • Services
  • Parent Information
    • COVID-19 Test Sites
    • Flu Vaccine Info
    • Helpful Resources
    • Immunization Policy
    • Insurance & Payments
    • New Patient Forms
    • Newsletter Signup
    • Office Handouts
    • Online Requests
  • Patient-Centered Medical Home