Patient Forms

New Patient Form

Depression Scale

Family Media Agreement

ADHD Symptom Checklist

Drug Use Screening

School Health Form

Mental Health Screening

Dr. Roman Criollo | Mindful Pediatrics in Jacksonville

Dr. Roman Criollo, MD

Pediatrician

I am a board certified pediatrician with 15 plus  years of experience and I speak English and Spanish. I offer wellness visits, sports physicals, school physicals, ADHD  management, newborn visits, and pre-op exams. I see patients from newborn to 19 years of age. 

CC Criollo | Mindful Pediatrics in Jacksonville

CC Criollo, MSW, RCSWI

Therapist

I am a Mental Health Therapist and Life Coach. I have over 10 years of experience and specialize in working with a variety of diagnosis including Attention Deficit Hyperactivity disorder (ADHD), Attention Deficit disorder (ADD), Anxiety, Low-mild Depression, and Family Dynamic’s.

Letha Page | Mindful Pediatrics in Jacksonville

Letha Page, LCSW, MCAP

Therapist

Letha is a Licensed Clinical Social Worker and is a Masters’ level CAP (Certified Addictions Professional).  She is skilled in providing trainings, and counseling services to a diverse cultural population including LGBTQIA+ individuals.

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