Getting started is easy! Follow our simple process below to join our practice family.
Complete these forms online through the patient portal, or download and print them to fill out by hand before your visit to save time at check-in.
Learn how we protect your health information
Permission to share medical records
Consent for medical care and services
Emergency contact information
Payment and billing information
Technology requirements and policies for telehealth appointments
Request to opt out of health information sharing
Translation and interpretation services
Tip: Print and complete these forms at home to streamline your check-in process. Bring completed forms with you to your first appointment.
Follow these three easy steps to become a Village Pediatrics patient
Contact our friendly front desk team at (904) 940-1577 to schedule your child's first appointment. We'll help you find a convenient time that works for your family.
Call NowDownload and complete the required patient forms above. Print them at home to save time at your appointment.
Download FormsArrive 15 minutes early for your appointment to complete any remaining paperwork. Our team will welcome you and get you settled in our comfortable office.
Get DirectionsHaving these items ready will help ensure a smooth first appointment
Tip: If you don't have all of these items, don't worry! We can still see your child and help you obtain missing records. Having them ready just makes the process smoother. Please arrive 10-15 minutes early for your first visit to complete any remaining paperwork.
We work with most major insurance plans to make care affordable
You should always check with your Privia Medical Group provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently. This list will be updated from time to time as needed.
Important: We do NOT accept Medicaid or Florida KidCare
Payment is due at the time of service. For out-of-network patients, deposits may be required.
Insurance Verification: We recommend calling your insurance company to verify coverage and any referral requirements before your first visit.
