Contact · Central Florida & telemedicine statewide

Connect with us.

Tell us how you’d like to work with Lumira. Select the service you’re interested in and share a few details about your family — this helps Dr. Rosario understand what you’re looking for before you meet.

After submitting the form, you’ll be directed to schedule your Meet & Greet.

Tell us about your family.

Everything below helps us prepare for your Meet & Greet. Fields marked with an asterisk are required.

Please note Do not use this form for urgent medical concerns. If your child has urgent symptoms, seek immediate medical care — contact your pediatrician, visit urgent care or the emergency department, or call 911.

Parent First & Last name

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Phone Number

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City & Zip code

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Your Child's Name

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Child's Date of Birth or Due Date

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What services are you looking for?

Newborn Home Visit Only

Newborn Circumcision

Newborn Frenotomy & Feeding Consult

Holistic Primary Care

Functional/Integrative Medicine Consult

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Please tell us a little about what you need

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I understand Lumira Pediatrics is a direct-pay, out-of-network pediatric practice and does not participate with any insurance plans

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I understand that all fees are paid directly by the family and are not billed to insurance.

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I have reviewed the pricing of the services I want to discuss during the Meet & Greet.

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