Lisa Cosgrove, MD

Luis Gonzalez, MD

    Michelle Tellado,MD

Donna Calvelli, ARNP

Julie Ronhaar, ARNP



Location: 270 N Sykes Creek Pkwy # 108 Merritt Island, FL 32953

Office Phone: 321-452-1061

Regular Hours:

M-F 9-5

Extended hours

M-FR 8-9 & 5-6:30

 

 

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    NEW PATIENT INFORMATION

     

    Thank you for choosing Atlantic Coast Pediatrics to provide excellent health care for your child or children. We are proud of our history of caring for the children and adolescents of Central Florida since the 1960s.

    To make your first visit to our office as convenient as possible, we have included below links to several “New Patient” forms you may wish to print out and complete before coming in for your visit. Click on any one to bring it up below.

    When you join our practice, you will provide us with a complete medical history and inform us if you obtained care outside of the practice.  Upon your first visit, we will have you complete new patient forms so that we may obtain all previous records you or your child may have.  Should you have any questions about this process, please contact Sonia Gonzalez, our office manager, at 321452061 or Dot Kelley at the same number. 

    • Complete New Patient Packette Please call to have them faxed to you or you can copy and paste the links and print them 

    • Medical Records Request Form
    • Medical History Questionaire 
    • Patient Information Sheet

    Upon your first visit, please also bring the following:

    1. All above forms, completed to the best of your ability
    2. A copy of your insurance information
    3. the Parent/Guardian must bring a valid photo ID (i.e. Driver's License)
    4. If your child has received a Social Security Card, please bring it with you
    5. Please bring a copy of your child's immunization records, if applicable