COVID-19 Resources:

Downloads and Form Files

Click any of the forms below to download or print (PDF).

COVID-19 Policies and Procedures

1A. Pfizer – DOH Screening & Consent Form – English

1B. Pfizer – DOH Screening & Consent Form – Spanish

2A. Pfizer EUA Fact Sheet for Recipients & Caregivers – 12+ – English

2B. Pfizer EUA Fact Sheet for Recipients & Caregivers – 12+ – Spanish

2C. Pfizer EUA Fact Sheet for Recipients & Caregivers – 5-11 – English

2C. Pfizer EUA Fact Sheet for Recipients & Caregivers – 5-11 – Spanish

2D. Pfizer EUA Fact Sheet for Recipients & Caregivers – 6mo-4 – English

3A. v-safe sheet – English

3B. v-safe sheet – Spanish

Small World Pediatrics

2527 Windguard Circle

Suite 102

Wesley Chapel, FL 33544

(813) 907-8001

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