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Forms & Downloads

Save time by completing new patient forms before your visit.

Authorization Forms

Medical Records Transfer Request
Medical Records Release Protocol
Consent to Treat Minor

Financial Forms

Self Pay Acknowledgement
Financial Policy

School Forms

VHSL Physical Form
VA School Entrance Health Form

Infinity Pediatric & Adolescent Medicine

1809 South Church St, Suite 302
Smithfield, VA 23430
Map & directions »

Phone
(757) 780-8400

Fax
(757) 432-3279

Email
info@infinitypam.com

Office Hours

Monday–Friday
8:30 am - 5:30 pm

When you arrive for your appointment, please call from the parking lot and we will have you wait in your car until we can take you directly into an exam room.

After-Hours Care

If your child’s illness or injury is life-threatening, call 911.

Otherwise, for urgent matters that cannot wait until business hours, call our office to be connected to an on-call provider. 757-780-8400

POISON CONTROL HOTLINE
1 (800) 222-1222

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