{"id":1876,"date":"2026-01-16T17:12:13","date_gmt":"2026-01-16T22:12:13","guid":{"rendered":"https:\/\/toplinemultist.wpengine.com\/shores-pediatrics\/?page_id=1876"},"modified":"2026-01-16T17:12:13","modified_gmt":"2026-01-16T22:12:13","slug":"forms-policies","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/shores-pediatrics\/forms-policies\/","title":{"rendered":"Forms &amp; Policies"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none hundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload header-img\" style=\"--awb-background-position:center top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-bottom:0px;--awb-margin-bottom:0px;--awb-background-size:cover;--awb-flex-wrap:wrap;\" data-bg=\"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-content\/uploads\/sites\/310\/2025\/11\/Mask-group-19.png\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-left:3rem;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:150px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:150px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:48;line-height:1.21;\"><h1 style=\"color: #fff;font-size: 48px;font-weight: 400\">Forms &amp; Policies<\/h1><\/h1><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column custom-shape\" style=\"--awb-padding-bottom:0px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-section-separator section-separator big-half-circle fusion-section-separator-1\" style=\"--awb-spacer-height:99px;--awb-svg-margin-left:1.92%;--awb-svg-margin-right:1.92%;--awb-svg-margin-left-medium:1.92%;--awb-svg-margin-right-medium:1.92%;--awb-svg-margin-left-small:1.92%;--awb-svg-margin-right-small:1.92%;--awb-divider-height:99px;--awb-spacer-padding-top:inherit;--awb-sep-padding:0;--awb-svg-padding:0;\"><div class=\"fusion-section-separator-svg\"><svg class=\"fusion-big-half-circle-candy\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" version=\"1.1\" width=\"100%\" height=\"100\" viewBox=\"0 0 100 100\" preserveAspectRatio=\"none\" fill=\"rgba(255,255,255,1)\"><path d=\"M0 100 C40 0 60 0 100 100 Z\"><\/path><\/svg><\/div><div class=\"fusion-section-separator-spacer\"><div class=\"fusion-section-separator-spacer-height\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1289.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\" style=\"--awb-content-alignment:center;\"><p class=\"p1\"><b>Forms<\/b><\/p>\n<p class=\"p2\"><b>Medical Records Release Request<\/b><b><\/b><\/p>\n<p class=\"p2\">To request that your child\u2019s medical records from a previous physician or specialist be released to Shores Pediatrics, please <a href=\"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-content\/uploads\/sites\/310\/2026\/01\/Shores-Pediatrics-Record-Release-Request.pdf\"><b>click here<\/b><\/a> to download our Medical Records Release form. Once completed, fax the form to the appropriate provider.<\/p>\n<p class=\"p2\">Please also send a copy to our office via fax at <b>305-757-8011<\/b> or email at <a href=\"mailto:shorespediatrics@femwell.com\"><span class=\"s1\"><b>shorespediatricsinfo@femwell.com<\/b><\/span><\/a>.<\/p>\n<p class=\"p2\">If you are requesting a copy of your child\u2019s medical records from <b>our<\/b> office, please email your request to <a href=\"mailto:shorespediatrics@femwell.com\"><span class=\"s1\"><b>shorespediatricsinfo@femwell.com<\/b><\/span><\/a>.<br \/>\nInclude: your child\u2019s full name, date of birth, the specific records needed, and who they are for (e.g., insurance, specialist, personal).<\/p>\n<p class=\"p2\">Copies will be available for pick-up within <b>3 business days<\/b>. If you need them sooner, please contact the office directly. A processing fee applies and is due at pick-up.<\/p>\n<p class=\"p2\"><b>Expecting Forms<\/b><\/p>\n<p class=\"p2\">Please <a href=\"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-content\/uploads\/sites\/310\/2026\/01\/NEW-Shores-Pediatrics-Prenatal-Forms.pdf\"><b>click here<\/b><\/a> to download the forms for expecting parents. Once completed, email them to <a href=\"mailto:shorespediatrics@femwell.com\"><span class=\"s1\"><b>shorespediatricsinfo@femwell.com<\/b><\/span><\/a>.<\/p>\n<p>For additional details, visit the <a href=\"\/shores-pediatrics\/new-patients\/\"><b>New Patient<\/b><\/a> section of our website.<\/p>\n<p class=\"p2\"><b>Transferring Patient Forms<\/b><\/p>\n<p class=\"p2\">Please <a href=\"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-content\/uploads\/sites\/310\/2026\/01\/NEW-Shores-Pediatrics-Transferring-Patient-Form.pdf\"><b>click here<\/b><\/a><span class=\"s2\">\u00a0<\/span>to download the forms for patients transferring from another practice. Once completed, email them to <b>shorespediatricsinfo@femwell.com<\/b>.<\/p>\n<p>For more information, see the <a href=\"\/shores-pediatrics\/new-patients\/\"><b>New Patient<\/b><\/a> section of our website.<\/p>\n<p class=\"p2\"><b>ADHD Assessment (Vanderbilt Assessment Scale)<\/b><\/p>\n<p class=\"p2\">If your physician has requested the Vanderbilt Assessment Scale to evaluate your child for possible ADHD, please <a href=\"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-content\/uploads\/sites\/310\/2026\/01\/Shores-Pediatrics-NICHQVanderbiltAssessment-1.pdf\"><b>click here<\/b><\/a> 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.<br \/>\n<span class=\"s3\"><br \/>\n<\/span><span class=\"s4\"><b>Policies<\/b><\/span><\/p>\n<p class=\"p5\"><b>Immunization Policy<\/b><\/p>\n<p class=\"p5\">Our physicians strongly believe in and follow the vaccination guidelines recommended by the <b>American Academy of Pediatrics (AAP)<\/b> and the <b>Centers for Disease Control and Prevention (CDC)<\/b>. For families choosing not to vaccinate, we recommend seeking a practice aligned with that philosophy.<\/p>\n<p class=\"p5\">To view the AAP\u2019s recommended immunization schedule, <a href=\"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-content\/uploads\/sites\/310\/2026\/01\/Shores-Pediatrics-0-18yrs-child-combined-schedule.pdf\"><b>click here<\/b><\/a>.<\/p>\n<p class=\"p5\"><b>Payment Policy<\/b><\/p>\n<p class=\"p5\">All co-pays, charges, and outstanding balances are due at the time of your child\u2019s appointment. We accept all major credit cards, personal checks, and cash.<\/p>\n<p class=\"p5\">If you have questions regarding billing, previous statements, or insurance, please contact our office at <a href=\"tel:+13057578040\"><span class=\"s5\"><b>305-757-8040<\/b><\/span><\/a>.<\/p>\n<p class=\"p5\"><b>Walk-In Policy<\/b><\/p>\n<p class=\"p5\">All appointments must be scheduled in advance. <b>Walk-in visits are not accepted.<\/b><br \/>\nWe will make every effort to accommodate your child as soon as possible. Thank you for your understanding and cooperation.<\/p>\n<p class=\"p5\"><b>Privacy Practices<\/b><\/p>\n<p class=\"p5\">To view our Privacy Practices, <a href=\"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-content\/uploads\/sites\/310\/2026\/01\/Shores-Pediatrics-Notice-of-Privacy-Practices-1.pdf\"><b>click here<\/b><\/a>.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling home-sec6\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:80px;--awb-padding-bottom:83px;--awb-background-color:#4fb2cf;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\" style=\"--awb-font-size:30px;\"><h2 class=\"wh3-h2-60\" style=\"text-align: center;\">BOOK AN APPOINTMENT TODAY!<\/h2>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-xlarge button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type button-font\" style=\"--button-border-radius-top-left:14px;--button-border-radius-top-right:14px;--button-border-radius-bottom-right:14px;--button-border-radius-bottom-left:14px;--button_text_transform:uppercase;--button_typography-font-family:&quot;Libre Franklin&quot;;--button_typography-font-style:normal;--button_typography-font-weight:700;\" target=\"_self\" href=\"\/shores-pediatrics\/contact\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Request an appointment<\/span><\/a><\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-1876","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-json\/wp\/v2\/pages\/1876","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-json\/wp\/v2\/comments?post=1876"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-json\/wp\/v2\/pages\/1876\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/shores-pediatrics\/wp-json\/wp\/v2\/media?parent=1876"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}