top of page

Patient Forms

01

Must be completed and brought to the first appointment.​​

​

​

03

Bring this notarized consent form to grant permission to a non-custodial caregiver

02

Request your child's records to be sent from our office to a new care provider, or from another office to ours.

04

Must be signed by all who use an alternate vaccine schedule or refuse vaccinations.

05

This signed form is required to document the refusal of vaccines.

07

HIPAA Privacy, Security, and

Enforcement Rules

06

Newborn Care at Sunshine Pediatrics

08

NICHQ Vanderbilt assessment scale for diagnosing ADHD/ADD.

09

What to expect from our office when parents separate

bottom of page