BayCare KIDS Specialty Center - Bloomingdale Health Hub
2470 Bloomingdale Ave
Valrico, FL 33596
813-615-0589 Option 0 (General Questions) or 800-324-7853 (Changes to Reservations)
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Welcome to BayCare KIDS Specialty Center - Bloomingdale Health Hub!
By providing the information below we will hold a spot for your child's COVID vaccination. Please provide a good contact number for the patient.
Please fill in additional patients.
Pediatric COVID Vaccination
The clinic has reached its limit for this visit reason today.
Patient First Name
Patient Last Name
Visit Day
Today - 04/25/2025
Visit Time
Cell Phone Number
Patient's Date of Birth - mm/dd/yyyy
Last Four Digits of Patient's SSN
Patient's Gender
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Female
Male
Other
Patient's Gender
Patient's Email Address
Patient's Street Address
Patient's City
Patient's State
Patient's Zip Code
County of Residence
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Pinellas
Hillsborough
Pasco
Polk
Other
County of Residence
Referring Provider's Name
Comments
Will there be other siblings present 5-11 years of age who will also need vaccination?
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Yes
No
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