insurance & forms

Prepare for Your
First Appointment

Please be aware that new patients visiting our office for the first time must be accompanied by a parent or legal guardian. If you are unable to attend your child’s appointment with Plantation Pediatrics, please download the two forms* below and fill them out to be brought to the appointment by whomever is accompanying your child to our office. We are unable to treat your child unless we receive signed copies of the following two forms at the time of the appointment. Additionally, please arrange to have all medical records sent to our office.


Bring the Following Items to
the Appointment

  • Photo ID
  • Insurance Card
  • Medications or Medications List

Additional Forms for New Patients


Vanderbilt Scales


Insurance & Copays

Please note that all copays are expected to be paid at the time of service. Payments may be made by cash, check or credit card. Payment is expected at the time of service unless you have made other arrangements with our office.

Billing Questions

For your convenience, we have an e-mail address that can be used during non-business hours to help answer questions about your bill. Please feel free to contact our billing staff at the e-mail address, which will be coming soon. All e-mails will be answered within 48 hours by our customer service staff. Our billing department can also be reached at 843-531-9961.

*Required forms for first appointment. Must be completed and signed by parent or legal guardian.

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