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Healthy Children
Pediatric Office in Miami and Homestead
Healthy ChildrenHealthy Children

Miami

(305) 549-6000

1495 NW 20th St, Miami, FL 33142

Homestead

(305) 246-1288

2830 NE 8th St, Homestead, FL 33033

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    • Miami pediatric office
    • Homestead pediatric office
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    • Insurances accepted and not taken
    • Registration forms [PDF]
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  • Home
  • Our Offices
    • Miami pediatric office
    • Homestead pediatric office
  • About us
  • Pediatricians
  • For Patients
    • Insurances accepted and not taken
    • Registration forms [PDF]
  • Articles
  • Educational Resources
  • Contact

For Patients – Registration forms

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  2. For Patients – Registration forms

FORMS TO DOWNLOAD

PATIENT REGISTRATION FORM

  1. Patient Registration Form [PDF ENGLISH]
  2. Patient Registration Form [PDF SPANISH]

PATIENT EMERGENCY CONTACT UPDATE FORM

  1. Patient Emergency Contact Update Form [PDF ENGLISH]
  2. Patient Emergency Contact Update Form [PDF SPANISH]

REQUEST & AUTH FOR MED RECORD RELEASE

  1. Request Authorization for Medical Records Release [PDF]
© 2025 Healthy Children Clinics - Miami & Homestead, Florida
  • Home
  • Our Offices
    • Miami pediatric office
    • Homestead pediatric office
  • About us
  • Pediatricians
  • For Patients
    • Insurances accepted and not taken
    • Registration forms [PDF]
  • Articles
  • Educational Resources
  • Contact
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