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Pediatric Patient Registration Forms in Tampa, FL
Check-in or Bring in a Completed Registration Form to Expedite Your Visit. For More Information Call (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.
Authorization for Treatment
Patient Portal User Agreement
Patient/ Family update information
Newborn To 3yo New Patient Package Forms
4 Years And Older New Patient Package Forms
*For any medical procedure, patients respond to treatment differently, hence each patient’s results may vary.
**In case of a life threatening emergency, immediately call 911.
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