(813) 870-4438 Mon–Fri: 8:30 AM – 12:00 PM & 1:00 PM – 4:30 PM
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Patient Forms

Download, print, and complete these forms before your office visit to save time at your appointment.

PEDGI provides new patient forms that can be downloaded, printed, and filled out prior to your scheduled office visit. By completing these forms in advance, you can save significant time at your first appointment.

Complete Before Your First Visit

These comprehensive packets include all the forms needed for your child's first appointment. Available in English and Spanish.

Patient Registration

Complete your child's registration information prior to arriving at our office.

Office Policies & Patient Consent

Please review and complete our office policies and patient consent forms before your visit.

Privacy Notice & Records Release

HIPAA Privacy Notice and authorization forms for release of medical information.

Medical Records Requests

  • Personal use: $1.00 per page for the first 25 pages; $0.25 per page thereafter.
  • Sent to another doctor's office: No charge. We will need the physician's name, address, and phone number.
  • Processing time: All requests take 5–7 business days. Use the Authorization for Release form above to request records.

Ready for Your Child's First Visit?

Download the forms above, complete them at home, and bring them to your appointment. Questions? Call us anytime.