RDV Sportsplex Pediatrics
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eFORMs

All our eforms are sent to our secure server and are encrypted to meet all HIPAA guidelines. 

Vaccine Only Screening

Only for children with up-to-date physicals 
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Lead Poisoning

For 12 and 24 months old children and between 36 months and 72 months
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M-Chat

For 18 months and 2 years old child.
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GoCheck Kids

For children 1 to 5 years of age. 
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Office Policies/Financial Agreement 

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New Insurance Card

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Authorization for Medical Treatment

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Notice of Privacy Practice Form

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Medical History

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Documents Posted  GFE Office Notice   Notice of Privacy Practice   Poster Fees Medical Records
Phone # 407-916-4520
Fax # 407-916-4525
Email: admin@rdvpediatrics.com
8701 Maitland Summit Blvd., Orlando, Florida 32810
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