Iwona Mienko, M.D. FAAP
64-12 Fresh Pond Rd.
Ridgewood, NY 11385
(718) 497-1565
AFTER HOURS EMERGENCY
(718) 497-1566

We are happy to provide our office forms for convenient download on your home computer. Please print and complete the forms below, and bring them with you to your child's first appointment. Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child's first visit.

Medical Records

ADHD

Developmental/Autism Screening

Vaccination

 

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