FL Tampa Family Health Centers Pediatric Registration Form free printable template

PREGNANCY & BIRTH Mother's age at pregnancy? FAMILY MEDICAL HISTORY List all blood relatives of your child who have ... Tampa, Florida 33614 Tampa, Florida 3615 Tampa, Florida 33682 Tampa, Flow'the

How to fill out FL Tampa Family Health Centers Pediatric

How to fill out FL Tampa Family Health Centers Pediatric Registration

1. Obtain the FL Tampa Family Health Centers Pediatric Registration form from the official website or by visiting the health center.
2. Fill in the child's personal information including name, age, date of birth, and gender.
3. Provide the guardian's or parent's contact information, including address, phone number, and email.
4. Complete the health history section, including any allergies, current medication, and past medical conditions.
5. Fill out insurance information if applicable, including the insurance provider's name and policy number.
6. Review the form for any missing information or errors.
7. Sign and date the form, acknowledging the provided information is accurate.
8. Submit the completed form to the health center either in person or through their specified submission method.

Who needs FL Tampa Family Health Centers Pediatric Registration?

1. Parents or guardians of children who require medical services at FL Tampa Family Health Centers.
2. Children who are newborns up to the age of 18 seeking pediatric care.
3. Individuals looking to establish or update their child's medical record with the health center.

People Also Ask about

Is Tampa Family Health Centers an FQHC?

We are among the largest federally qualified health centers (FQHC) in the state of Florida.

Does Tampa Family Health do walk ins?

Walk-in appointments are available for acute illnesses only.

What is the salary at Tampa Family Health Center?

Average TAMPA FAMILY HEALTH CENTERS hourly pay ranges from approximately $7.25 per hour for Nurse Practitioner to $47.73 per hour for Screener. The average TAMPA FAMILY HEALTH CENTERS salary ranges from approximately $27,406 per year for Medical Assistant to $170,217 per year for Family Medicine Physician.

Who is the CEO of Tampa Family Health Centers?

Sherry Hoback, MBA, BSN, RN - Chief Executive Officer - Tampa Family Health Centers | LinkedIn.

How do I schedule an appointment with Tampa family?

To schedule an appointment, call 813-397-5300 or click here to Sign up for MyChart for future visits!

Who is the CEO of Tampa family?

Sherry Hoback, MBA, BSN, RN - Chief Executive Officer - Tampa Family Health Centers | LinkedIn.

What is the direct number for Tampa Family Health Center?

General Information. To schedule an appointment, call 813-397-5300 or click here to Sign up for MyChart for future visits! For current job openings, please visit TFHC Careers.

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What is FL Tampa Family Health Centers Pediatric Registration?

FL Tampa Family Health Centers Pediatric Registration is a process designed to enroll children into pediatric health services offered by the Tampa Family Health Centers, ensuring they receive necessary medical care.

Who is required to file FL Tampa Family Health Centers Pediatric Registration?

Parents or guardians of children who wish to access pediatric health services at the FL Tampa Family Health Centers are required to file the Pediatric Registration.

How to fill out FL Tampa Family Health Centers Pediatric Registration?

To fill out the FL Tampa Family Health Centers Pediatric Registration, parents or guardians should obtain the registration form, complete all required information about the child and their health history, and submit it to the center either online or in person.

What is the purpose of FL Tampa Family Health Centers Pediatric Registration?

The purpose of FL Tampa Family Health Centers Pediatric Registration is to gather vital information necessary for providing appropriate pediatric care and to facilitate the enrollment of children in the health center's services.

What information must be reported on FL Tampa Family Health Centers Pediatric Registration?

The information that must be reported on FL Tampa Family Health Centers Pediatric Registration includes the child's personal details, medical history, immunization records, and contact information for parents or guardians.