Information of Interest About Our Practice
In order to make sure your visit to the practice goes smoothly, we've put together all the important information about how things work at the practice.
Don't forget to bring your insurance card and picture ID with you.
In order to register and treat you promptly, we request that our patients bring their current insurance information and driver's license/photo ID with them for each visit.
We ask that on the first visit the parent or legal guardian of the patient accompany the patient.
A patient under the age of 18 must always have an adult with them at each appointment.
If you do not fill out New Patient Paperwork prior to visit we ask that all New Patients arrive 15 minutes prior to appointment time.
Please be aware that if you no show your first appointment with no prior notification it is our office policy we will not schedule another appointment for your child(ren).
Our physician believes in immunizations and it is our office policy that children are up to date on all immunizations. If you choose not immunize your child(ren) they will not be able to be patients with Gulf Coast Pediatrics.
Patient Portal Access: https://dr-connect.com/JGCP
Print off these papers - Fill them out - Bring with you to the clinic for your appointment with
your insurance card and photo ID.
2017 Patient Demographics - pg 1.pdf
Adobe Acrobat document [561.8 KB]
Print off these papers - Fill them out - Bring with you to the clinic for your appointment with
your insurance card and photo ID.
2017 Patient Demographics - pg2.pdf
Adobe Acrobat document [824.6 KB]
HIPAA - Notice of Privacy Practices for Gulf Coast Pediatrics
HIPPA.pdf
Adobe Acrobat document [681.6 KB]
Needing medical records sent to or from Gulf Coast Pediatrics? (example: shot records, test results, past records, etc..)
Print this off, fill out, and send to our office.
Fax # 251.445.4435.
Please list ALL doctors child has been to since birth for us to obtain records from.
Need something sent to you - check the line for release info and then fill out RELEASE records to the following:
We MUST have a release in order to fax a shot record or any medical information anywhere.
Medical Release.pdf
Adobe Acrobat document [375.0 KB]
Important telephone numbers for in case of emergencies:
| Organization | Telephone Number |
|
Emergency Services & Fire Department |
911 |
|
Poison Control (National Center) |
800-222-1222 |
|
Centers for Disease Control and Prevention
|
800-CDC-INFO (800-232-4636) |
|
Providence Hospital USA Children's & Women's Hospital Mobile Infirmary Springhill Memorial |
251-633-1000 251-415-1000 251-435-2400 251-344-9630 |
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