Our Services Hospital Affiliations New Patients The Carithers Pediatric Group        Jacksonville, Florida       All Rights Reserved Thank you for choosing The Carithers Pediatric Group to provide excellent health care for your child or children. We are proud of our history of caring for the children and adolescents of Northeast Florida since 1941. To make your first visit to one of our offices as convenient as possible, we have included below links to several “New Patient” forms you may wish to print out and complete before coming in for your visit. Click on any one to bring it up below. The CARITHERS  Pediatric Group Pediatric and Adolescent Medicine 1. Please fill out the form(s) and bring them with you on your first visit.  Patient Registration Form   Medical History Form   Medical Check History Form  HIPAA-Notice/Acknowledgement  Financial Policy  Vaccine Information Sheet 0-6 Months   Medical Records Transfer Form 2. Bring a copy of your insurance information 3. Parent/Guardian must bring their Driver's License 4. If your child has received a Social Security Card, please bring it with you 5. Please bring a copy of your child’s immunization record.