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Complete these forms only if your pediatrician requests them for a follow up visit.
WELCOME TO PHCA
Tampa Bay’s Standard of Pediatric Excellence
ADD/ADHD
Complete estos formularios solo si su pediatra los solicita para una visita de seguimiento.
Complete these forms only if your pediatrician requests them for a follow up visit.
Parents should print and complete this form prior to your child's appointment for evaluation of ADD/ADHD. Please bring both completed forms to your appointment.
Los padres deben imprimir y completar este formulario antes de la cita de su hijo para la evaluación de TDAH. Por favor, traiga ambos formularios completos a la cita.
Complete these forms only if your pediatrician requests them for a follow up visit.
Complete estos formularios solo si su pediatra los solicita para una visita de seguimiento.
Parents should print and have your child's teacher complete this form prior to your child's appointment for evaluation of ADHD. Please bring both completed forms to your appointment.
Los padres deben imprimir y pedir al maestro de su hijo que complete este formulario antes de la cita para la evaluación del TDAH. Por favor, traiga ambos formularios completos a la cita.
This form will be provided to you at the time of prescription refill for ADD - ADHD medication(s). This states our policy regarding follow up and monitoring of your child's status, based on medical industry and health insurance quality care standards.