Department of Pediatrics
USF Health · College of Medicine

Information for Patients

Please call us if your child is sick during clinic hours – a healthcare provider will handle your call as soon as possible. When you call, please have the following information available:

  • Your child's name and date of birth
  • Your telephone number (home and cell phone)

Thank you for the privilege of caring for your child(ren) and your family.

NEW PATIENT FORMS:  If your child is a new patient at the USF Pediatric Clinic, please complete the appropriate form below, and bring it with you to the clinic for your first appointment.

1.  Physical Evaluation for Participation in Sports

2.  Children ages 0 to 10 years

3.  Adolescent Questionnaire (ages 11-21 years)

FOR PARENTS OF TODDLERS:  Please complete the M-CHAT survey (below) and bring it to the clinic before your child's 18 and 24 month clinic visit.  We would also appreciate your completing the Parent Survey (below)

1. M-CHAT

2. Parent Survey