Accepted Insurance

Please confirm that Dr. Hirschfield is contracted with your particular plan.:

Contact Us:   727-381-4305

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Patient Information

New Patients

Thank you for choosing our office for your pediatric healthcare. We ask that you please print out, complete and sign the following forms to bring with you on your first appointment. Please remember to bring your insurance card and a photo ID as well.


Download the following Patient Forms for each new patient.


New Patient Form


Consent for Treatment
Authorization to Release Medical Records