Vaccine Clinic Registration
Complete this form to request an appointment for one of our vaccine clinics, lead by board-certified pediatrician Dr. Rosana Lastra of Head2Toe Pediatrics. 

Head2Toe Pediatrics is a concierge pediatric practice in Tampa Bay offering vaccine clinics for all children, no need to be a patient. You can visit our website to learn more www.head2toepediatrics.com 

Vaccination clinics are being held at various locations, days and times throughout the year. Upon registration you will receive an e-mail with the details.
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Email *
Your Name *
Number of children registering *
Ages of children registering *
Which vaccine would you like an appointment for? *
Which date are you interested in? *
Which time slot are you interested in? *
Check your e-mail!
We will be contacting you with the details of your appointment. If you do not hear from us within the week, please email info@head2toepediatrics.com.
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