The Carithers Pediatric Group Jacksonville, Florida All Rights Reserved
Please Complete The Forms That Apply Before Your Appointment
New Patient Forms
Registration
Medical History
HIPAA Release
The CARITHERS
Pediatric Group
Pediatric and Adolescent Medicine
All the forms listed (and linked) below are explained and also
available from the Well Childcare, New Patient and
ADD/ADHD page options.
Well Childcare Forms
Newborn Visit
2 Week Visit
2 Month Visit
4 Month Visit
6 Month Visit
9 Month Visit
12 Month Visit
15 Month Visit
18 Month Visit
Year 2 Visit
Year 3 Visit
Year 4 Visit
Year 5 Visit
Years 6 - 11 Visit
Years 12 - 15 Visit
Year 16+ Visit
Healthy Eating Suggestions
Feeding Picky Eaters
Helpful Baby Feeding Hints
Sports (Physical) Form
Financial Policy
Vaccine Information
Medical Records Transfer
ADD/ADHD Forms
Initial History
ADD/ADHD Follow-up
Check-off History