, Jacksonville, FL 32258
- Monday 8:30 AM - 5:00 PM
- Tuesday 8:30 AM - 5:00 PM
- Wednesday 8:30 AM - 5:00 PM
- Thursday 8:30 AM - 5:00 PM
- Friday 8:30 AM - 5:00 PM
Welcome to Mandarin Pediatrics. To help expedite your first visit, we provide our health forms online so that you can print and complete them at your convenience. If you have any questions, please don’t hesitate to contact our office staff.
Mandarin Pediatrics Forms
BPC Authorization for Use of Answering Machines
Authorizes Baptist Primary Care to leave appointment, referral and test results information on your answering machine.
BPC Health Care Status Authorization
Authorizes Baptist Primary Care to release information concerning the status of your health care, including laboratory and radiology results and to discuss your treatment plan with an individual that you name.
BPC Patient Registration and Authorization
Captures patient demographic information, insurance information and authorizes Baptist Primary Care to prepare and submit your medical bill directly to your insurance company.
Provides your primary care physician with important information about your medical and family history to better diagnose, treat or prevent conditions.
Medical Records Request or Release
Initiates your request to have your medical records sent to another medical provider and/or to request your medical records from another provider be sent to your primary care doctor.
Authorizes Baptist Primary Care to deliver medical services and treatment to your children.