Patient Portal and Forms

 The Patient Portal will allow you to request an appointment or send us a secure message about your child from your phone or computer. 

Patient Forms

If you're preparing for your child's first visit, you can do a few things to help expedite the appointment. Please provide the following information when you arrive for your visit:

  • Insurance cards
  • Complete immunization records
  • Medical records from your previous pediatrician

To request school forms or to have your child’s records transferred to another office, please log into your childs' Patient Portal account. Requesting via the portal will provide you with the fastest service. You may also call the office at 407-284-6460 and use the prompts to make your request on our voice message line. 

Asthma and Food Allergy Plans

Please print the appropriate forms if your child suffers from Asthma and/or Food Allergies, and bring the forms to your next appointment to complete them with your provider.  These forms are for use at home or at your child’s school in the event of an emergency.


Laboratory Test via Blood Draw (order given or mailed) Parent Information Sheet:

Printable Information Sheet


ADHD Forms

Please print and complete the appropriate forms before your ADHD/Behavior consultation.

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



Contact Us

Office Hours
Monday:8:15 AM - 5:00 PM
Tuesday:8:15 AM - 5:00 PM
Wednesday:8:15 AM - 5:00 PM
Thursday:8:15 AM - 5:00 PM
Friday:8:15 AM - 5:00 PM