Vaccine Policy

All of the healthcare providers at Pediatric Associates of Norwood and Franklin (PANF) feel very strongly that our patients should follow the vaccine schedule established by the Center of Disease Control and adopted by the American Academy of Pediatrics. This position is based on our interest in the safety of our patients, including those too young to be immunized.

We all believe that in every instance, your child is better off when you choose to have him or her vacinated.

(We recognize that people with severe egg allergies may have problems with the influenza vaccine.)

Our practice policy is to no longer accept new patients who refuse vaccines mandated by the state of Massachusetts.

Which office location do you prefer?

Norwood

Franklin

Name of Parent

First name

Last name

Child/Children's names

I have read, understand, and agree to this policy. I understand that if I refuse vaccines mandated by the state of Massachusetts for public school entry, I will be asked to seek pediatric care for my child elsewhere

Please select "Submit" to send electronically, or print this form and deliver it to our office.

I understand that the information submitted may include personal health information and consent to its secure storage and use.

15 Norwood Park South, Suite 110, Norwood, MA 02062 (p): 781-769-4090, Fax: 781-769-6485

122 Grove Street, Franklin, MA 02038 (p): 508-528-5404, Fax: 508-528-5383

115 Norwood Park South Suite 110, Norwood, MA 02062

781-769-4090 or 508-528-5404

Vaccine Policy