Expecting Your First Child or New to the Practice? Dunedin Pediatrics & Family shares the excitement and joy of expecting a child. Dr. Herrero is more than happy to set up a Prenatal Consult with you in person or over the phone to briefly discuss the practice. We do charge a $60.00 fee for the personal consultation as each child and family are unique. Please reserve 20 minutes for the consultation. We also offer vaccine consultations. We are always accepting newborns as well as new patients of all ages. We invite soon-to-be parents and “Old pro’s” alike to join. If you are interested in making Dunedin Pediatrics & Family your family's medical home, please complete this survey so we can ensure that we are a good match for you. A member of our office will contact you after receipt of the survey to discuss appointment availability. Mothers Name 1 (Please allow 24 - 72 hours for a response)* First Last Mother's Number*Father's Name 2 First Last Father's Number*Contact Email (also to be used for Portal Access) Due Date or Date of Birth of Patient you wish to schedule If expecting, where will you be delivering:Dunedin Pediatrics & Family charges a modest Retainer Fee of $ 119.00 to cover a variety of ancillary services. This fee also allows our practice to remain small and personalized. Are you comfortable paying this Non Optional fee yearly?YesThe cost of the New Patient appointment is $155.00 and the Retainer fee are due at the time of service. Comments:Once you have completed the New Patient Survey, please complete the "Release of Medical Records" form. Please email it or fax it into office, once records are received we can schedule your appointment. Thank you.NameThis field is for validation purposes and should be left unchanged.