New Patient Request

Please fill-out our New Patient Application and submit it online. One of our Pediatric Care Team will give you a call by the end of the day to get you scheduled.

Date(Required)

Referred by

Parent's Last Name(Required)

First Name

Telephone Number

Insurance Plan

Newborn:

OB/GYN

Hospital

Due Date

Will vaccinate according to AAP schedule

Yes

Plan to add patient to current insurance

Yes

If no, new insurance

Transfer:

Previous physician

Reason for leaving

Will past medical records contain any visits to a specialist

Health issues/Medications

Up to date on vaccines

Yes

Will continue AAP vaccine schedule

Yes

Child #1

DOB

Child #2

DOB

Child #3

DOB

Child #4

DOB

We firmly believe that all children and young adults should receive all of the recommended vaccines according to the schedule published by the Centers for Disease Control and Prevention and the American Academy of Pediatrics.

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Why Choose Pediatric Wizards?

Pediatric Wizards is a trusted healthcare provider that specializes in delivering comprehensive care for children. Our experienced team of pediatric professionals is dedicated to ensuring the well-being and healthy development of every child under our care.

From routine check-ups and immunizations to specialized treatments, we offer a wide range of services tailored to meet the unique needs of our young patients. Our commitment to patient-centered care and a welcoming environment ensures that your child's visit is a positive and stress-free experience.

The New Patient Process

At Pediatric Wizards, we understand the importance of making the new patient experience as seamless as possible. Our online new patient application allows you to provide us with the necessary information to get your child's care started promptly.

Once you've submitted the application, a member of our Pediatric Care Team will reach out to you by the end of the day to schedule your child's first appointment. We'll work closely with you to ensure a smooth transition and address any questions or concerns you may have.

Comprehensive Pediatric Services

Pediatric Wizards offers a wide range of services to meet the diverse healthcare needs of children. From routine well-child checkups and immunizations to specialized care for sports injuries, chronic conditions, and adolescent health concerns, our team is equipped to provide exceptional care at every stage of your child's development.

Our services also include newborn care, developmental screenings, and personalized guidance on nutrition, sleep, and other important aspects of your child's health and well-being. We are committed to partnering with you to ensure your child receives the highest quality of care.

Convenient Locations and Hours

Pediatric Wizards has a conveniently located office in Melbourne, Florida, serving families throughout the surrounding communities. Our office is open Monday through Thursday from 8 AM to 5 PM, and on Fridays from 8 AM to 12 PM, ensuring that you can access the care your child needs when it's most convenient for your family.

We understand the importance of accessibility and strive to make your child's healthcare experience as seamless as possible. Whether you need to schedule a routine check-up or address a sudden health concern, our team is here to provide the high-quality, personalized care your child deserves.