FORMS

New patients please print, complete and bring to your first visit. You can also email us these forms directly at office@island-pediatrics.com :

1. New Patient Info Form
2. Financial Policy
3. Consent for Treatment

Other useful forms and information:

• Privacy Policy– for your information
• Florida High School Pre-participation Physical Form– please print and complete this questionnaire prior to any sports physical. Only fill out page 1!
• Records Release – to print and complete if we need to obtain medical records from another provider or hospital.