RDV Sportsplex Pediatrics
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Request/Send Us a Form
Any requests for forms will be ready in three (3) business days. They are signed on a first come, first serve basis. In order to accommodate patients that need forms by the following business day, there is a $25 convenience fee for rush requests. If you choose that option below, we will contact you for payment before the request will be processed. Under no circumstances will the doctors be interrupted from seeing patients during regular business hours to sign any forms.

This section may also be used to send us new patient paperwork or any individual front desk forms that need to be updated.

If you are requesting the full medical record, please note that they are available at no charge on the Patient Portal. If you require assistance transferring your records to or from our office, please contact Maria in the records department at 407-916-4520 or 
maria@rdvpediatrics.com. 
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Patient information
Medical History
Notice of Privacy Practice
Authorization for Medical Treatment
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Phone # 407-916-4520
Fax # 407-916-4525
Email: admin@rdvpediatrics.com
8701 Maitland Summit Blvd., Orlando, Florida 32810
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