Office Policies

Dr. Bou Pediatrics reserves the right to make changes to the office policies at any point in time. Please understand that the intent of these policies is to aid us in offering a high standard of care to our patients.


Vaccination is a crucial step necessary to combat and prevent the spread of fatal diseases. This is a topic that we passionately advocate for, as hundreds of thousands of children worldwide die each year from preventable illnesses. Dr. Bou urges all hesitant parents to research this topic carefully, as thousands of studies have conclusively determined that shots save lives and do not cause autism. For the well-being of all children, we strictly follow American Academy of Pediatrics and CDC guidelines on vaccinations, which include combining certain shots at certain ages to maximize the patient’s immunity. Unfortunately, we will not be able to accept patients that desire alternative vaccination schedules.

Unassociated Providers

Unless otherwise approved by one of our providers, we do not accept patients that desire to remain established with other practices, as we find it to be extremely detrimental to the patients’ overall healthcare.


All copayments, deductibles, coinsurance, and previous balances must be paid at the time of service. This amount is set by the insurance provider, and this arrangement is part of the patient’s contract with their insurance provider. Dr. Bou Pediatrics may postpone an appointment until the copayment or any open balance is received. We accept secondary insurance. 


All patients under 18 years old must be accompanied by a parent or legal guardian in order to be seen or treated in our office. If you plan to have a relative or other caregiver bring your child for a visit, we require a signed form giving permission for that person to act on your behalf for medical decision making during the office visit. Please print and complete the Authorization to Treat form prior to your child’s next visit.


If you need to have an additional family member seen during an already scheduled visit, please call ahead of time if possible. Otherwise, let the front team know at check-in. Keep in mind that the schedule may already be full. All patients seen by a provider must be on our schedule, so notes from the entire visit may be recorded and so we can maintain a well-timed schedule. Any applicable copays, coinsurance, and deductibles will be collected for each additional patient seen that day.

Late Arrivals

If you’re running late for an appointment due to unforeseen circumstances, we ask that you please call our office to let us know that you’re on your way, so that the providers can continue to see patients in a timely manner. Please be aware, notifying us of late arrival does not guarantee you will be seen at your scheduled appointment time, and may result in a longer wait. Arrival 15 minutes or more after your appointment time will result in an automatic cancellation. A missed appointment will be rescheduled for the next available opening, which may be on a future date.

Cancellations & No-Shows

Dr. Bou Pediatrics is dedicated to meeting the needs of our patients. In an effort to make sure we have adequate openings for all children needing appointments, twenty-four (24) hour cancellation notification is required. The patient may be discharged from our practice if they fail to cancel their appointments.


If there is space, walk-ins will be given the next available appointment, which is usually several hours later. Therefore, we urge you to call ahead for an appointment.


When we are not in the office (evenings/weekends/holidays) someone is always available by phone to answer your urgent medical questions. Please call the office at (813) 719-3716, and follow the prompts. If there is no answer, please leave a detailed voicemail with your child’s name, birthday, and callback number for the nurse or provider. Our policy is to return your call within 30 minutes. Therefore, if you do not hear from us by then, please try again.


We cannot guarantee that email communication is secure and confidential, which may be a concern given the private nature of medical information. Therefore, if you choose to send information via email, it is with this understanding on your part. However, it is our office’s policy not to send information protected by HIPAA via email. Instead, we can mail, fax, or upload documents to the Patient Portal. We encourage patients to utilize the Patient Portal, which provides secure means for communication between patients and our office in a timelier manner. Additionally, neither email nor the Patient Portal are adequate means for urgent questions or concerns. Any response needed in less than 48 hours should be addressed by calling our office directly.

Records Release

You may request a copy of your child’s medical records at any time. This request must be in writing by filling out a Records Release Authorization Form. Records can be faxed directly to other physicians free of charge. All outstanding balances must be paid in full before records are transferred to another office


Patient-Centered Medical Home FAQ for Patients
Learn more about our Patient-Centered Medical Home (PCMH)
Patient-Centered Medical Home FAQ for Pa
Adobe Acrobat Document 122.9 KB
Notice of Privacy Practices
Check out our Notice of Privacy Practices.
DBP Notice of Privacy Practices.pdf
Adobe Acrobat Document 467.2 KB
Medical Records Release Form- Wesley Chapel
Medical Records Release Form for the Wesley Chapel location
Medical Records Release Form 2018-06-12
Adobe Acrobat Document 135.7 KB
Medical Records Release Form- Plant City
Medical Records Release Form for the Plant City location
Medical Records Release Form 2018-06-12
Adobe Acrobat Document 136.7 KB
Instructions on How to Use the Patient Portal
How to Use Patient Portal- English.pdf
Adobe Acrobat Document 1.4 MB
Chinese Instructions to Use the Patient Portal
How to Use Patient Portal- Chinese.pdf
Adobe Acrobat Document 1.4 MB


Dr. Bou Pediatrics observes the following holidays throughout the year:

  • New Year's Day
  • Strawberry Festival Parade (Plant City location only)
  • Good Friday
  • Memorial Day
  • Independence Day
  • Labor Day
  • Election Day (Half Day)
  • Thanksgiving Day
  • Day after Thanksgiving Day
  • Christmas Eve
  • Christmas Day

You can always page the on-call provider after-hours or on holidays for urgent medical questions by calling our main line: (813) 719-3716 for Plant City or (813) 948-8814 for Wesley Chapel.