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patient forms

Download, print and complete the form and bring it to your first appointment.

This form is requested so that the school can work with the parent to meet the physical, intellectual and emotional needs of the child.

Download, print and complete form before bringing to the office at your appointment.

(586) 446-8060

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39242 Dequindre Rd. #101

Sterling Heights, MI 48310

 

Fax (586) 446.8062

Office Hours

Monday: 9:00am – 5:00pm Tuesday: 9:00am – 5:00pm Wednesday: 9:00am – 5:00pm Thursday: 9:00am – 5:00pm

Friday: 9:00am – 2:00pm

Saturday: CLOSED

Sunday: CLOSED

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Gogue Pediatrics is a certified patient-centered medical Home that provides pediatric care to infants, children, and adolescents. We specialize in children’s vaccinations, children’s healthcare, immunizations for children, sports physicals, and wellness exams servicing in Sterling Heights and Troy.

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