Resources
Greetings! We are thrilled to inform you that our team of experts has diligently compiled a comprehensive list of some of the finest resources that will assist you effectively in surpassing challenges that may arise.
Our team has left no stone unturned in the pursuit of excellence, and we are confident that you will find answers, solutions, and inspiration from the wealth of information that we have compiled.
Immunization Schedule
Click here for the Pediatrics West Childhood and Adolescent Immunization Chart listed by age and vaccine type.
Vaccine Information
Intake Forms
Please speak with your provider prior to completing any forms online.
Mental Health Intake Forms
Sleep Intake Forms
Additional Forms
Telehealth Appointments
Please access your telehealth appointment through the Patient Gateway portal. If you do not have a patient gateway account yet, please contact us at 978-577-0437 and a staff member will be happy to assist you.
Tiny Fingers Tiny Toes
Pediatrics West offers a free educational program for expectant parents called Tiny Fingers Tiny Toes.
Click here for schedule and locations.
Please fill out this brief online Registration Form for Tiny Fingers Tiny Toes.
Tiny Fingers Tiny Toes will encompass basic newborn educational material and re-enforce the information provided to the parents by their infant’s provider. The material covered will be a wide range from normal newborn appearance and symptoms that may warrant a physicians visit to breastfeeding vs. formula feeding. We cover recommended safety equipment, vaccines, vitamins and medications, and recommendations on finding a pediatrician. Our “hands on” approach allows expectant parents to observe and practice diapering, bathing, swaddling, feeding and burping.
This program is offered at our Fitchburg and Groton offices. Please use the above links for program schedule and registration.
Medical Records
- You’re 18 now… What does HIPAA mean to you!
- To obtain a copy of your medical records please complete the Authorization Form and send to our office.
Informational Websites
We understand the importance of ensuring that parents have access to the most up-to-date and reliable information about their little ones’ well-being. From articles discussing the latest medical breakthroughs and recommendations from top pediatricians to interactive tools that help monitor your child’s developmental milestones and overall health status, we strive to provide a comprehensive source of knowledge for parents.
Referral Request
Click here for the Secure Online Referral Request Form.
Referral Requests are for patient use only. If you are not the patient, parent or legal guardian do not use the online referral request form.
All patients must be referred by a provider.
For appointments that have already occurred or are in less than ten (10) business days, please contact the referral department at (978) 577-0420.
Reminder: Referrals are processed in the order which they are received. Busier times of the year may take up to ten (10) business days for processing. You will receive a call back only if the Referral Department needs any additional information regarding your request.
Pay Your Bill
For questions, please email our office at [email protected] or call us at 978-577-0422
To register for a Patient Gateway account, please call our office at 978-577-0437, or you may pay your bill as a guest. Please have your account number available, which can be found on your bill. If pay as guest is not an option, please try clearing the cache on your web browser and reload the page.
For visits prior to June 15, 2023, please pay your bill here.
For visits June 15, 2023 and later, please pay your bill through Patient Gateway
Effective April 1, 2024, Massachusetts law requires insurance carriers to provide a yearly annual mental health wellness exam. The mental health wellness exam is defined as consisting of a screen or assessment that seeks to identify any behavioral, developmental, or mental health needs and appropriate resources for treatment.
The exam may be provided by the primary care provider as part of an annual preventive visit or as a standalone visit. For details on the mental health law and wellness exam components, please refer to the Massachusetts Division of Insurance Bulletin 2024-02.
For most plans, the mental health wellness exam is covered with no out-of-pocket costs for members when performed by a network licensed mental health professional or primary care provider. If you have questions regarding coverage, please contact your insurance carrier.