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Pediatric Rheumatology - Resources

Pediatric Specialties

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352.294.5252

Practice Resources

New to our practice?

Here are some documents to help expedite your registration before you are seen by one of our doctors. You can download them, complete them, and fax them to 321.841.7361 if you are visiting the Orlando office.

Forms

Patient Referral Form

The above form is to be completed and faxed by your pediatrician or referring physician. Please also keep in mind if your insurance requires a referral to be seen by a specialist, this must come from your assigned primary care physician.

Patient Intake Form

Completing this form can take up to 20 minutes and may require checking old health records. Save time by doing it at home!

Billing

We are currently contracted with most insurance companies. If you have questions regarding our participation in your network, please call our office.

Cancellation Policy

Except for rare emergencies, we will see you or your child at the time scheduled. If you need to cancel or reschedule your appointment, please call us as soon as possible so that we can offer your appointment time to another patient. If you cancel your appointment less than 24 hours in advance, or do not come at the scheduled appointment time, you will be charged a $25 fee for the missed appointment. Please note that most insurance companies will not reimburse you for missed appointments, and you remain responsible for these charges.

Please find helpful information and links to help with the treatment of rheumatoid conditions for your loved ones.