Patient Forms

Please notice that the heading on our forms is now Florida Pediatric Associates LLC.  Since Partners in Allergy and Asthma Care is now a division of FPA, we are updating to their forms. 

We still see patients of all ages, even though we are a division of FPA

The CMS Medicare Questionnaire is only needed if you are on Medicare Part B or a Medicare Advantage Plan. 

We recommend completing the Parental Consent form if your child is under age 18 and may be accompanied by an adult other than parent/guardian.

Thank you!

Consent for Treatment.pdf
FPA Payment Policy-AMB -PIAA.pdf
Acknowledgement of NPP_.docx.pdf
Parental Consent.pdf
CMS Medicare-Questionnaire.pdf