Patient Forms

 Important Forms & Information

• Complete New Patient Packet (forms & practice info)

• New Patient Registration Form (PDF)
• Medical Records Release Form (PDF)
• Chaperone Policy (PDF)
• Photo Release Form (PDF)
• Meyer Pediatrics Immunization Policy

Questions regarding new patients, transfers, and medical records,  contact Sannie in medical records at  941. 346 . 6133.

Attention All New Medicaid Patients:

Meyer Pediatrics is NOT accepting new Medicaid Patients at this time,  as our panels are full.  This includes the following Medicaid HMO’s:  Molina Healthcare  and  Staywell Health Plan.  Please note,  we  will continue to accept  Staywell Kids,  Coventry Kids,  Sunshine Kids , and CMS Title  21 Healthy Kids where your eligibility is  obtained through the Florida Healthy Kids Program). This does NOT affect established patients who currently have Medicaid and have been switched to a different HMO, or should find they become eligible for Medicaid services in the future.   We apologize in advance for any inconvenience and encourage you to check the website after May 1, 2017  for updates or changes to this policy.

Helpful Handouts on Common Concerns

• Developmental Milestones
• Eczema
• Constipation
• Probiotics
• Head Shape
• Sleep Training
• Teen Sleeping Patterns
• Stuttering
• 7 Tips for Talking with the Child Who Stutters (video)
• Autism Speaks on MMR