10743 Narcoossee Rd # A13
Orlando, FL 32832-6946
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Forms and Policies

Below you will find our commonly requested office forms. If you are a new patient we encourage you to complete and drop off your new patient paperwork prior to your first visit so that you can be seen more quickly.
  • New Patient Forms

    • New Patient Form | PDF
    • Medical Record Release | PDF
    • Office Policies | PDF

  • School Physical Form | PDF
  • Orange County Sports Physical Form | PDF

  • Vanderbilt Assessment Forms for Parents and Teachers

    • Parents | PDF
    • Teachers | PDF

Tree House Pediatrics offers Attention Deficit Disorder evaluations for children. Please complete the Parent Vanderbilt form and have your child’s teacher complete the Teacher Vanderbilt form prior to your appointment with your child’s Pediatrician. This will enable us to better diagnose your child.

  • Vaccination Philosophy and Policy | PDF