Forms and Policies

Vaccine Policy

At Sunshine Pediatrics, LLC, we firmly believe in the effectiveness and safety of childhood vaccines to prevent serious illness and to save lives, and we fully support the vaccination of all children and young adults. Vaccines have saved more lives in the past century than any other medical intervention and, as a result, most people in this country have never seen a child with polio, tetanus, pertussis (whooping cough), bacterial meningitis or chicken pox. Indeed, vaccinating children and young adults may be the single most important health-promoting intervention we perform as healthcare providers, and that you can perform as responsible parents and guardians. Read More

Payment Policies

Full payment of deductibles, co-insurance or co-payments is expected at the time of service. Self-pay patients are expected to provide payment in full at the time of service.  Sunshine Pediatrics accepts cash, Visa, MasterCard, AMEX and Discover.  Personal checks are not accepted.  Patients must present their insurance identification card at EACH visit. Some of the insurances accepted are:  Aetna, Carefirst, Amerigroup, Medstar, Blue Cross Blue Shield, Cigna, and United Healthcare, to name a few.

Missed Appointments

Missed appointments represent a cost to us, to you, and to other patients who could have been seen during your scheduled time slot.  Please call at least 24hours in advance to cancel an appointment.  There will be a charge for missed appointments.


If your insurance contract requires a referral for consult or treatment by a specialist or for ancillary services such as physical therapy or radiology procedures, you must receive the referral from our office before seeing a specialist. Patients are required to consult with their primary care physician prior to requesting a referral. Except in true emergencies, you must allow five business days for our office to complete the referral.

New Patient Forms (available in English and Spanish)


Screening Forms

  • Ages and Stages Questionnaires
    You will be directed to another site.  Follow the directions and press submit.  Click the print link to print appropriate questionnaire.  Please fill in and bring to your child’s next well child visit.
  • M-CHAT (for ages 18 month-2 years)