Patient Information Form

Each year we require an updated Patient Information Form for our records. Our staff will advise you if an updated form is needed prior to your next appointment. If you are a patient 18 years or older, you will be asked to complete the Patient Information Form, with your information and signature.

You may complete your form through our secure on-line website or use the print option below to print and complete your form. If you choose to bring your completed form to your appointment, we ask that you arrive 10 minutes prior to your appointment, to allow us time to upload your information. Upon your arrival to our office, you will need to provide us with your government issued ID, and your current insurance card.

On-line Option

To complete your form on-line, click the link below.

Print Option

To print your form for completion, click the link below. E-mail to [email protected], fax to (954) 424-4200 or bring them with you 10 minutes prior to your appointment time. 

Plantation Office

220 S.W. 84th Avenue
Suite 206
Plantation, FL 33324
Tel: (954) 423-2300
Fax: (954) 424-4200

Plantation Office Hours

Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 5:00 PM
Wednesday 8:00 AM - 9:00 PM
(From 5:00 PM - 9:00 PM for well-child exams by appointment only)
Thursday 8:00 AM - 5:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 8:30 AM - 3:00 PM

plantation office

Our Plantation office is located off of Broward Boulevard between University Drive and Pine Island Road on S.W. 84th Avenue, less than 1/4 mile south of Broward Boulevard in the Westside Medical Park.

Weston Office

1040 Weston Road
Suite 310
Weston, FL 33326
Tel: (954) 384-8885
Fax: (954) 384-7376

Weston Office Hours

Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 8:00 AM - 5:00 PM
Thursday 8:00 AM - 5:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 8:30 AM - 3:00 PM
(Open most Saturdays)

weston office

Our Weston office is located on the east side of Weston Road between Indian Trace and Saddle Club Road in the Chase Bank Building.

  • "I've been bringing my 3 children here for 4 years (military family). They are simply the best. Kelly, Brenda, and the Drs are fantastic! I highly recommend them."
  • "Staff is always friendly and wonderful. All the Doctors, NP, Nurses are just a joy to see full of patience and kindness."
  • "Dr. Morrison has been our pediatrician for 25 years. He is wonderful. He is knowledgeable, thorough, and has an excellent bedside manner. Dr. Morrison truly KNOWS his patients and remembers specifics about their health history. He takes the time to build a rapport with patients and their parents. My children are grown and my youngest (nearly 21) does not want to stop seeing him!"
  • "Dr. Salland has been my children’s pediatrician for 23 years. She’s extremely knowledgeable, compassionate and has a wonderful bedside manner. When I came to South Florida 23 years ago, I asked several parents who I should use as my children’s pediatrician and her name came up on several conversations. I’m So glad we picked her as our pediatrician."
  • "Reviewing a MD office is never easy. We started going to West Broward Pediatrics after we decided our original pediatrician was not the right fit anymore. We have seen all of the MDs in the practice at both the Weston and Plantation office. I love that they have Saturday hours, as well as an evening hour one day a week. The staff is always friendly and I have never had a hard time making an appointment when my daughter is sick. We went from a single MD practice to a multi MD office and I was afraid I wouldn't get to know the MD. We use the same MD for my daughter's yearly and then can see any of the MDs for sick visits. We are definitely happy we made the change."
  • "This practice is amazing!! They are kind, caring, and think about my child and my needs. They are willing to talk through decisions and value my opinion. We will be with them a long time."