Patient Forms

The Pediatric Specialists Medical Group welcomes new patients. Choosing the right pediatrician for your child is one of the most important decisions you will make. By selecting the Pediatric Specialists, you can feel confident and comfortable that you have made the right decision.

To understand what to expect for your child's first visit to our practice, please read through this page.

Our Mission

Our practice is working together to build life-long relationships between our staff and our patients by consistently providing our patients with compassion, excellence and value. To fulfill this mission, we are committed to:

  • Improving the lives of the children we serve by providing quality care in a child-centered environment.
  • Listening to our young patients and their families who we are privileged to serve.
  • Guiding our patients along a path of optimal health and wellness.
  • Continually pursuing excellence at all levels through continuing education.

What to bring to your first visit?

We work hard to ensure that your child receives prompt medical care in a comfortable, child-friendly office setting. A Parent or Guardian must be present at the first appointment. After the first appointment, if you wish to allow other caregivers  to bring your child, you can complete the Authorization to Treat form available in the office. To help expedite the first appointment, we ask that you please complete the Online New Patient Packet and bring  that with a copy of your child's Immunization Records , Patient's Insurance Card, and a Picture ID of the parent or guardian.

Patient Forms

We are also happy to offer you the option to download, print and complete our office forms to reduce wait times during your first appointment.

New Patient Packet: Please complete all the forms in this section and bring them with you to your newborn/child's first appointment.

Individual Forms :

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Insurances Accepted

We accept most major Insurance plans.  Below is a list of some of these plans.  Some Insurance has select select plans within their network that have limited provider panels.  Be sure and check your plans provider listing for our physicians names to confirm coverage.

  • Av-Med
  • Aetna
  • Cigna
  • Continental Benefits
  • Florida Blue-most plans
  • Great Western
  • Golden Rule
  • Health options
  • Humana-most plans
  • Tricare Standard
  • United Healthcare
  • United Medical Resources
  • & others .

What to Expect at Your First Visit

On the day of your child's first visit to our office, we recommend arriving a few minutes early. This allows extra time for finishing up any registration forms and ensures you have plenty of time to get acquainted with our staff and office. Be sure to bring your completed New Patient Paperwork, a Picture ID, and your Insurance Card . History of previous immunizations, medical records including medications and referrals to specialists are very helpful to maintaining continuity of care.

We look forward to meeting you and your child and providing the quality, comprehensive medical care you expect and deserve.


Contact Us

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Pediatric Urgent care available after hours


8:00 am-5:30 pm


8:00 am-5:00 pm


8:00 am-5:30 pm


8:00 am-5:00 pm


8:00 am-5:00 pm