Welcome to Hometown Pediatrics! For your convenience, the medical forms we commonly use have been listed below.
For new patients, we request receipt of your completed “New Patient Information” form. You can fax to 352-674-9767, drop at our office or mail to Hometown Pediatrics 1400 US Hwy 441N, Suite 522, The Villages, FL 32159.
If you are unable to print these forms, we can mail you a new patient information packet.
If you are new to Hometown Pediatrics, please be aware of our Patient Policies:
For upcoming appointments:
Please be prompt and if possible, arrive 10-15 minutes prior to your scheduled visit to permit the appropriate information to be collected or reviewed at check-in as well as to allow time for any forms to be completed. Please bring your updated insurance ID card and your copay (if applicable). Copays are due at the time of service.
Please be aware of our Cancellation Policy.
If you are unable to keep a scheduled appointment, please notify us ASAP, as we require 24 hours notice for cancelled appointments. There will be a $25 fee for those who do not keep scheduled appointments.