Forms

Medical Records Release Request

To request that your child’s medical records from a previous physician or specialist be released to Shores Pediatrics, please click here to download our Medical Records Release form. Once completed, fax the form to the appropriate provider.

Please also send a copy to our office via fax at 305-757-8011 or email at shorespediatricsinfo@femwell.com.

If you are requesting a copy of your child’s medical records from our office, please email your request to shorespediatricsinfo@femwell.com.
Include: your child’s full name, date of birth, the specific records needed, and who they are for (e.g., insurance, specialist, personal).

Copies will be available for pick-up within 3 business days. If you need them sooner, please contact the office directly. A processing fee applies and is due at pick-up.

Expecting Forms

Please click here to download the forms for expecting parents. Once completed, email them to shorespediatricsinfo@femwell.com.

For additional details, visit the New Patient section of our website.

Transferring Patient Forms

Please click here to download the forms for patients transferring from another practice. Once completed, email them to shorespediatricsinfo@femwell.com.

For more information, see the New Patient section of our website.

ADHD Assessment (Vanderbilt Assessment Scale)

If your physician has requested the Vanderbilt Assessment Scale to evaluate your child for possible ADHD, please click here to download the necessary forms. Once completed, please return the forms to our office at your earliest convenience. You will also need to schedule a follow-up appointment with your physician to review and discuss the assessment results.

Policies

Immunization Policy

Our physicians strongly believe in and follow the vaccination guidelines recommended by the American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC). For families choosing not to vaccinate, we recommend seeking a practice aligned with that philosophy.

To view the AAP’s recommended immunization schedule, click here.

Payment Policy

All co-pays, charges, and outstanding balances are due at the time of your child’s appointment. We accept all major credit cards, personal checks, and cash.

If you have questions regarding billing, previous statements, or insurance, please contact our office at 305-757-8040.

Walk-In Policy

All appointments must be scheduled in advance. Walk-in visits are not accepted.
We will make every effort to accommodate your child as soon as possible. Thank you for your understanding and cooperation.

Privacy Practices

To view our Privacy Practices, click here.