Now accepting new patients — Call us today: (850) 203-6654
Patient Resources

Everything You Need, All in One Place

We want your family's experience at Coastal Kids Endocrinology to be as smooth as possible. Find forms, insurance information, and helpful guides below.

New Patient Forms

Download and complete these forms before your visit to save time at check-in (unless all was completed via Phreesia electronically).

New Patient Registration

PDF

Complete this form for all new patients before your first appointment.

Download form

Medical History Form

PDF

Provide your child's medical history, current medications, and allergies.

Download form

Insurance & Financial Policy

PDF

Review our financial policies and provide your insurance information.

Download form

Authorization to Release Health Information

PDF

Use this form to authorize the release, review, or sharing of protected health information.

Download form

Cancellation & Missed Appointment Policy

Information

Review our cancellation and missed appointment policy before scheduling your visit.

Consent for AI Use

Information

Review information about the use of artificial intelligence in supporting your child's care.

Download form

Laboratory & Radiological Testing Acknowledgement

Information

Review and acknowledge information about laboratory and radiological testing.

Download form

Prior Authorization Information for Families

Information

Learn how prior authorizations work and what your family can expect during the process.

Download form

Telemedicine Visit Policy (for established patients only)

PDF

Review the guidelines and requirements for telemedicine visits.

Download form

Insurance & Billing

We work with most major insurance plans to make care accessible for your family.

Coastal Kids Endocrinology accepts most major commercial insurance plans, as well as Florida Medicaid. We recommend calling your insurance provider prior to your visit to verify your benefits and confirm that our provider is in-network.

For patients without insurance or those with high-deductible plans, we offer self-pay rates. Please contact our office for more information.

Billing Questions?

Questions about billing? Call us at 850-203-6654 or email [email protected]

We currently accept

Blue Cross Blue ShieldAetna / CoventryFlorida MedicaidTricare SelectMultiplan / PHCS (Claritev)Simply Health

Frequently Asked Questions

Need Help Preparing for Your Visit?

Our friendly team is here to help your family feel ready.