Orangetown Pediatrics
AFTER HOURS CONTACT PAGE
IF THIS IS A MEDICAL EMERGENCY PLEASE CALL 9-1-1 OR GO TO THE NEAREST EMERGENCY ROOM.
Please fill out all the fields below to send your after hours message.
Note: All fields must be completed.
Patient Last Name
*
Patient First Name
*
Date of Birth
*
Mobile Number
*
Confirm Mobile Number
*
Email
Message
Optional: You can attach up to three photos/files by clicking the paperclips
Please select the nature of your issue:
Non-Urgent
- Non-Urgent issues include medication refills, appointment scheduling or cancellations, and billing questions.
Urgent
- Urgent issues are where you need to speak to the on-call physician for a matter that requires immediate attention.
*
Required field
Please confirm that you need to speak to the on-call physician or nurse about an urgent matter. This does not include refills, appointments, or billing questions.
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