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Ancient City Pediatrics 1301 Plantation Is Dr S., Suite 404 St. Augustine, FL 32080 Phone: (904) 4611560 FINANCIAL POLICY Thank you for choosing us as your children health care provider. In order
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Start by gathering all necessary information such as the child's full name, date of birth, and contact information for the parent or guardian.
02
Fill out any medical history or previous health records that you may have for the child.
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Note down any specific concerns or symptoms that the child is experiencing.
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If applicable, provide information about the child's insurance or payment method for the visit.
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If it is the child's first visit to ancient city pediatrics, you may need to fill out additional paperwork such as consent forms or privacy policies.
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Who needs ancient city pediatrics:

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Infants and children who require regular well-child check-ups, immunizations, and developmental screenings.
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Families wanting access to a network of pediatric specialists and resources.
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Ancient City Pediatrics is a pediatric medical practice located in the historic city.
Parents or legal guardians of children who are patients of Ancient City Pediatrics are required to fill out the necessary paperwork.
To fill out Ancient City Pediatrics paperwork, parents or guardians must provide accurate information about their child's medical history, insurance information, and contact details.
The purpose of Ancient City Pediatrics is to provide quality medical care to children and adolescents in the community.
Information such as the child's medical history, current medications, allergies, insurance information, and emergency contact details must be reported on Ancient City Pediatrics forms.
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