All SAPA records are maintained electronically. Electronic forms save time and effort for both patient and staff members.
Please complete CHADIS health questionnaires before your visit:
Additional SAPA downloadable forms:
If you are requesting medical records from another facility to be sent to St. Augustine Pediatrics Associates
If you need medical records from our practice, they can be accessed from the patient portal. If you do not have access to our patient portal, please contact our office to request a registration invite. All requests should be sent Attention: Michelle.
This is the PCMH Contract of our practice
This is the Transition of Care to Adult Policy
This is the initial form that your child's teacher needs to complete, with ink, and return it to either the parent/guardian or directly to St. Augustine Pediatric Associates.
This is the follow-up form that your child's teacher needs to complete, with ink, and return it to either the parent/guardian or directly to St. Augustine Pediatric Associates.
If you are going out of town and have assigned someone to care for your child/children as well as allow them to make medical decisions in your absence, please complete this form and provide a copy to the caregiver assigned. This will provide legal authorization for providers to treat your child in your absence.