Pediatric Patient Registration Forms at Julia Barriga M.D. P.A. in Tampa, FL
Check in or bring in a completed registration form to expedite your visit. For more information, call at (813) 984-8846.
Thank you for choosing Julia Barriga M.D. P.A. Pediatric Clinic. Please click below to complete the “Patient Registration form”. All patients are served as they arrive.
PATIENT NON-DISCRIMINATION POLICY
JULIA BARRIGA, MD., PA. will not discriminate in the provision of health care services to an individual:
1. Because the individual is unable to pay for the health care services;
2. Because payment for those services would be made under Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP); or
3. Based upon the individual’s race, color, sex, age, national origin, disability, religion, gender identity or sexual orientation.