New Patient Forms
Birth - 11 Month Forms
Click or tap the link to download Newborn - 11 months form.
12 Month - 18 Year Old Forms
Click or tap the link to download 12 month - 18 year old forms.
High School Sports Physical Form
Click or tap the link to download the Sports Physical form.
Recommended Immunization Schedules
Reliable Sources for Immunization Info
- http://www.cdc.gov/vaccines
This site includes Vaccine Information Statements (VIS) for all vaccines given in our office.
- https://www.healthychildren.or
g - http://www.vaccineinformation.
org - http://www.chop.edu
Your Patient-Centered Medical Home
Click or tap the link to download the Patient-Centered Medical Home FAQ.
Insurance Plans Accepted
![Blue Cross Blue Shield](https://peninsulapediatricsfl.com/wp-content/uploads/2016/05/BCBSlogo-e1464366445255.png)
My Blue not accepted.
![Florida Blue](https://peninsulapediatricsfl.com/wp-content/uploads/2016/05/FLBlogo-e1464366791322.png)
![AvMed](https://peninsulapediatricsfl.com/wp-content/uploads/2016/05/Alogo-e1464367274765.png)
Entrust not accepted.
![MultiPlan](https://peninsulapediatricsfl.com/wp-content/uploads/2016/07/Mlogo-e1468986019834.png)
![Staywell, A WellCare Company](https://peninsulapediatricsfl.com/wp-content/uploads/2016/05/Slogo.png)
![Cigna](https://peninsulapediatricsfl.com/wp-content/uploads/2016/05/Clogo2-e1464367141259.png)
Local Plus not accepted.
![The Great-West Life Assurance Company](https://peninsulapediatricsfl.com/wp-content/uploads/2016/07/Glogo-e1468983299668.png)
![Humana](https://peninsulapediatricsfl.com/wp-content/uploads/2016/07/Hlogo-e1468983026904.png)
HMO X, HMO X Select and Medicare plans not accepted.
![UnitedHealthcare](https://peninsulapediatricsfl.com/wp-content/uploads/2016/06/Ulogo-e1466648515847.png)
Compass and Navigate plans not accepted.
![Beech Street](https://peninsulapediatricsfl.com/wp-content/uploads/2016/07/Blogo-e1468986485908.png)
![Sunshine Health](https://peninsulapediatricsfl.com/wp-content/uploads/2017/01/SSHlogo-e1484440380283.png)
No longer accepting new patients
![Aetna](https://peninsulapediatricsfl.com/wp-content/uploads/2016/06/AElogo-e1466647990218.png)
![Evolutions Healthcare Systems](https://peninsulapediatricsfl.com/wp-content/uploads/2016/05/Elogo-e1464367665604.png)
![Tricare](https://peninsulapediatricsfl.com/wp-content/uploads/2017/01/Tlogo-e1484440654946.png)
Prime and Standard Plans only. Champ VA not accepted.
![Meritain Health](https://peninsulapediatricsfl.com/wp-content/uploads/2016/08/MHlogo-e1472332651237.png)
![bright Health](https://peninsulapediatricsfl.com/wp-content/uploads/2020/12/bright.png)
![ambetter](https://peninsulapediatricsfl.com/wp-content/uploads/2020/12/ambetter.png)
![Simply healthcare](https://peninsulapediatricsfl.com/wp-content/uploads/2020/12/Simply-Logo.png)
Aetna BetterHealth
![oscar](https://peninsulapediatricsfl.com/wp-content/uploads/2020/12/oscar.png)
Golden Rule
Don’t see your insurance provider? We’re adding more plans soon!