We are pleased to provide our patient forms so that you may conveniently download them to your computer. You may print out and complete to following forms below, and bring them with you to your child’s next visit.

New pediatric patients

Thank you for choosing Pediatric Associates of Lakeland for your child’s medical care. Your child’s first visit to a pediatrician is an investment in his / her future and we want to help make it as easy as possible through the new patient process.

New Patient Packet
Social History

Preparing for your first visit

If you’re preparing for your child’s first visit, there are a few things you can do to expedite the check-in process. Please provide the following information when you arrive at our office:

  • Insurance card(s)
  • Complete immunization records
  • Medical records from your child’s previous pediatrician
  • Letter of medical consent (if someone other than the parent is bringing the child in)

Questions? Please feel free to call us, our courteous staff will be happy to assist you.