The forms below are to be printed and taken with you to your hospital or birthing center.

The completed form is required for your Newborn Appointment.







Any hospital not listed should release information without a form if Volusia Pediatrics is listed as your pediatrician

Lactation Services

Top 10 Tips for Breastfeeding Success
  1)  SKIN-TO-SKIN, early & often! It gets your milk-making hormones pumping, activates the nervous system in baby that switches off stress; enhances digestion, healing,  growth & connection!

 2) Nurse often (immediately after birth and 12 or more times in 24 hours)

 3) No bottles, no pacifiers, no pumping! All of these can interfere with establishing breastfeeding. They can be introduced later!

 4) Make your commitment to breastfeeding clear to hospital staff and your support system! 
 
 5) Watch your baby, not the clock! Look for early feeding cues: mouth movements, tongue movements, sucking, rooting, hands to face, rapid eye movement. Crying is the  latest stage of hunger and not the right time to try to get baby to latch!

 6) If it hurts, it isn’t right! Any type of pain should be addressed with your Lactation Specialist and/or physician.

 7) ASK FOR HELP! Good support is absolutely key to breastfeeding success!

 8) Rest when baby rests! In the first 2 weeks, keep visitors to a minimum. No cleaning, cooking, grocery shopping etc! Your only job is your baby!

 9) Eat when hungry & Drink when thirsty! It can be easy to forget about your own needs when caring for a new baby! 

 10) Take a deep breath, look at your little miracle, and treasure each tiny moment. You're doing a great job!

Finding the right place to start your baby on a healthy path is important. That's why we work as a team to provide you and your baby a smooth beginning...

Email Amy Directly

Please fill out the form below to contact Amy concerning all non urgent matters.


Useful Links

Amy McCormack, CLC

Our team of physicians works closely with our Certified Lactation Counselor, Amy McCormack, to provide post-hospital lactation support for breastfeeding families. 

​Whether you are pregnant and looking for educational classes, learning how to breastfeed your newborn, dealing with breastfeeding problems, returning to work as a nursing mom, or in need of breastfeeding support at any time in your nursing experience, we can help.

The commitment to providing your baby with the best start in life begins with breastfeeding. Our commitment is to provide YOU with the support you need to make that happen.

317 S. Dixie Freeway

New Smyrna Beach, FL 32169

P: 386-424-1414  F:386-424-9130

Once your baby and you are safely home, making your first appointment couldn't be easier. 

Call our office and our caring staff will find your baby the earliest appointment.


The information you will need are:

  • Mother's Name and Date of Birth
  • Baby's name and Date of Birth
  • Address and Phone number
  • Insurance information*
  • Hospital or Birthing Center Name and information for Records

 *Most private insurances will cover baby under Mother's Insurance for the first thirty days if the enrollment in that Insurance has been started. Medicaid covered babies will need to be assigned to a Managed Care Plan  prior  to appointment. Scheduling of appointment does not guarantee insurance coverage. All co-pays or co-insurance are due at the time of service. 


Once at our office 15 minutes early before your appointment time, our staff will escort you and your baby to a private room to wait for the nurse and doctor. 



Volusia  Pediatrics is proud to offer Certified Lactation Counselor Services for mothers who are interested in learning more about the many benefits of breastfeeding their child.

Expecting Your Baby

633 Dunlawton AVe.

Port Orange, FL 32127

P: 386-424-1414  F:386-424-9130

/* angular-svg-round-progressbar@0.3.8 2015-10-21 */ // shim layer with setTimeout fallback // credit Erik Möller and http://www.paulirish.com/2011/requestanimationframe-for-smart-animating/ 'use strict'; (function() { var lastTime = 0; var vendors = ['webkit', 'moz']; for(var x = 0; x < vendors.length="" &&="" !window.requestanimationframe;="" ++x)="" {="" window.requestanimationframe="window[vendors[x]+'RequestAnimationFrame'];" window.cancelanimationframe="window[vendors[x]+'CancelAnimationFrame']" ||="" window[vendors[x]+'cancelrequestanimationframe'];="" }="" if="" (!window.requestanimationframe){="" window.requestanimationframe="function(callback)" {="" var="" currtime="new" date().gettime();="" var="" timetocall="Math.max(0," 16="" -="" (currtime="" -="" lasttime));="" var="" id="window.setTimeout(function()" {="" callback(currtime="" +="" timetocall);="" },="" timetocall);="" lasttime="currTime" +="" timetocall;="" return="" id;="" };="" }="" if="" (!window.cancelanimationframe){="" window.cancelanimationframe="function(id)" {="" window.cleartimeout(id);="" };="" }="" }());="" angular.module('angular-svg-round-progress',="" []);="" 'use="" strict';="" angular.module('angular-svg-round-progress').constant('roundprogressconfig',="" {="" max:="" 50,="" semi:="" false,="" rounded:="" false,="" responsive:="" false,="" clockwise:="" true,="" radius:="" 100,="" color:="" "#45ccce",="" bgcolor:="" "#eaeaea",="" stroke:="" 15,="" duration:="" 800,="" animation:="" "easeoutcubic",="" offset:="" 0="" });="" 'use="" strict';="" angular.module('angular-svg-round-progress').service('roundprogressservice',="" [function(){="" var="" service="{};" var="" isnumber="angular.isNumber;" var="" base="document.head.querySelector('base');" fixes="" issues="" if="" the="" document="" has="" a=""> element service.resolveColor = base && base.href ? function(value){ var hashIndex = value.indexOf('#'); if(hashIndex > -1 && value.indexOf('url') > -1){ return value.slice(0, hashIndex) + window.location.href + value.slice(hashIndex); } return value; } : function(value){ return value; }; // credits to http://modernizr.com/ for the feature test service.isSupported = !!(document.createElementNS && document.createElementNS('http://www.w3.org/2000/svg', "svg").createSVGRect); // utility function var polarToCartesian = function(centerX, centerY, radius, angleInDegrees) { var angleInRadians = (angleInDegrees - 90) * Math.PI / 180.0; return { x: centerX + (radius * Math.cos(angleInRadians)), y: centerY + (radius * Math.sin(angleInRadians)) }; }; // deals with floats passed as strings service.toNumber = function(value){ return isNumber(value) ? value : parseFloat((value + '').replace(',', '.')); }; service.getOffset = function(element, options){ var value = +options.offset || 0; if(options.offset === 'inherit'){ var parent = element; var parentScope; while(!parent.hasClass('round-progress-wrapper')){ if(service.isDirective(parent)){ parentScope = parent.scope().$parent.getOptions(); value += ((+parentScope.offset || 0) + (+parentScope.stroke || 0)); } parent = parent.parent(); } } return value; }; // credit to http://stackoverflow.com/questions/5736398/how-to-calculate-the-svg-path-for-an-arc-of-a-circle service.updateState = function(val, total, R, ring, size, isSemicircle) { if(!size) return ring; var value = val > 0 ? Math.min(val, total) : 0; var type = isSemicircle ? 180 : 359.9999; var perc = total === 0 ? 0 : (value / total) * type; var x = size/2; var start = polarToCartesian(x, x, R, perc); // in this case x and y are the same var end = polarToCartesian(x, x, R, 0); var arcSweep = (perc <= 180="" "0"="" :="" "1");="" var="" d="[" "m",="" start.x,="" start.y,="" "a",="" r,="" r,="" 0,="" arcsweep,="" 0,="" end.x,="" end.y="" ].join("="" ");="" return="" ring.attr('d',="" d);="" };="" service.isdirective="function(el){" if(el="" &&="" el.length){="" return="" (typeof="" el.attr('round-progress')="" !="=" 'undefined'="" ||="" el[0].nodename.tolowercase()="==" 'round-progress');="" }="" return="" false;="" };="" easing="" functions="" by="" robert="" penner="" source:="" http://www.robertpenner.com/easing/="" license:="" http://www.robertpenner.com/easing_terms_of_use.html="" service.animations="{" t:="" is="" the="" current="" time="" (or="" position)="" of="" the="" tween.="" this="" can="" be="" seconds="" or="" frames,="" steps,="" seconds,="" ms,="" whatever="" –="" as="" long="" as="" the="" unit="" is="" the="" same="" as="" is="" used="" for="" the="" total="" time.="" b:="" is="" the="" beginning="" value="" of="" the="" property.="" c:="" is="" the="" change="" between="" the="" beginning="" and="" destination="" value="" of="" the="" property.="" d:="" is="" the="" total="" time="" of="" the="" tween.="" jshint="" eqeqeq:="" false,="" -w041:="" true="" linearease:="" function(t,="" b,="" c,="" d)="" {="" return="" c="" *="" t="" d="" +="" b;="" },="" easeinquad:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c*(t/="d)*t" +="" b;="" },="" easeoutquad:="" function="" (t,="" b,="" c,="" d)="" {="" return="" -c="" *(t/="d)*(t-2)" +="" b;="" },="" easeinoutquad:="" function="" (t,="" b,="" c,="" d)="" {="" if="" ((t/="d/2)">< 1)="" return="" c/2*t*t="" +="" b;="" return="" -c/2="" *="" ((--t)*(t-2)="" -="" 1)="" +="" b;="" },="" easeincubic:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c*(t/="d)*t*t" +="" b;="" },="" easeoutcubic:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c*((t="t/d-1)*t*t" +="" 1)="" +="" b;="" },="" easeinoutcubic:="" function="" (t,="" b,="" c,="" d)="" {="" if="" ((t/="d/2)">< 1)="" return="" c/2*t*t*t="" +="" b;="" return="" c/2*((t-="2)*t*t" +="" 2)="" +="" b;="" },="" easeinquart:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c*(t/="d)*t*t*t" +="" b;="" },="" easeoutquart:="" function="" (t,="" b,="" c,="" d)="" {="" return="" -c="" *="" ((t="t/d-1)*t*t*t" -="" 1)="" +="" b;="" },="" easeinoutquart:="" function="" (t,="" b,="" c,="" d)="" {="" if="" ((t/="d/2)">< 1)="" return="" c/2*t*t*t*t="" +="" b;="" return="" -c/2="" *="" ((t-="2)*t*t*t" -="" 2)="" +="" b;="" },="" easeinquint:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c*(t/="d)*t*t*t*t" +="" b;="" },="" easeoutquint:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c*((t="t/d-1)*t*t*t*t" +="" 1)="" +="" b;="" },="" easeinoutquint:="" function="" (t,="" b,="" c,="" d)="" {="" if="" ((t/="d/2)">< 1)="" return="" c/2*t*t*t*t*t="" +="" b;="" return="" c/2*((t-="2)*t*t*t*t" +="" 2)="" +="" b;="" },="" easeinsine:="" function="" (t,="" b,="" c,="" d)="" {="" return="" -c="" *="" math.cos(t/d="" *="" (math.pi/2))="" +="" c="" +="" b;="" },="" easeoutsine:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c="" *="" math.sin(t/d="" *="" (math.pi/2))="" +="" b;="" },="" easeinoutsine:="" function="" (t,="" b,="" c,="" d)="" {="" return="" -c/2="" *="" (math.cos(math.pi*t/d)="" -="" 1)="" +="" b;="" },="" easeinexpo:="" function="" (t,="" b,="" c,="" d)="" {="" return="" (t="=0)" b="" :="" c="" *="" math.pow(2,="" 10="" *="" (t/d="" -="" 1))="" +="" b;="" },="" easeoutexpo:="" function="" (t,="" b,="" c,="" d)="" {="" return="" (t="=d)" b+c="" :="" c="" *="" (-math.pow(2,="" -10="" *="" t/d)="" +="" 1)="" +="" b;="" },="" easeinoutexpo:="" function="" (t,="" b,="" c,="" d)="" {="" if="" (t="=0)" return="" b;="" if="" (t="=d)" return="" b+c;="" if="" ((t/="d/2)">< 1)="" return="" c/2="" *="" math.pow(2,="" 10="" *="" (t="" -="" 1))="" +="" b;="" return="" c/2="" *="" (-math.pow(2,="" -10="" *="" --t)="" +="" 2)="" +="" b;="" },="" easeincirc:="" function="" (t,="" b,="" c,="" d)="" {="" return="" -c="" *="" (math.sqrt(1="" -="" (t/="d)*t)" -="" 1)="" +="" b;="" },="" easeoutcirc:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c="" *="" math.sqrt(1="" -="" (t="t/d-1)*t)" +="" b;="" },="" easeinoutcirc:="" function="" (t,="" b,="" c,="" d)="" {="" if="" ((t/="d/2)">< 1)="" return="" -c/2="" *="" (math.sqrt(1="" -="" t*t)="" -="" 1)="" +="" b;="" return="" c/2="" *="" (math.sqrt(1="" -="" (t-="2)*t)" +="" 1)="" +="" b;="" },="" easeinelastic:="" function="" (t,="" b,="" c,="" d)="" {="" var="" s="1.70158;var" p="0;var" a="c;" if="" (t="=0)" return="" b;="" if="" ((t/="d)==1)" return="" b+c;="" if="" (!p)="" p="d*0.3;" if="" (a="">< math.abs(c))="" {="" a="c;" s="p/4;" }="" else="" s="p/(2*Math.PI)" *="" math.asin="" (c/a);="" return="" -(a*math.pow(2,10*(t-="1))" *="" math.sin(="" (t*d-s)*(2*math.pi)/p="" ))="" +="" b;="" },="" easeoutelastic:="" function="" (t,="" b,="" c,="" d)="" {="" var="" s="1.70158;var" p="0;var" a="c;" if="" (t="=0)" return="" b;="" if="" ((t/="d)==1)" return="" b+c;="" if="" (!p)="" p="d*0.3;" if="" (a="">< math.abs(c))="" {="" a="c;" s="p/4;" }="" else="" s="p/(2*Math.PI)" *="" math.asin="" (c/a);="" return="" a*math.pow(2,-10*t)="" *="" math.sin(="" (t*d-s)*(2*math.pi)/p="" )="" +="" c="" +="" b;="" },="" easeinoutelastic:="" function="" (t,="" b,="" c,="" d)="" {="" jshint="" eqeqeq:="" false,="" -w041:="" true="" var="" s="1.70158;var" p="0;var" a="c;" if="" (t="=0)" return="" b;="" if="" ((t/="d/2)==2)" return="" b+c;="" if="" (!p)="" p="d*(0.3*1.5);" if="" (a="">< math.abs(c))="" {="" a="c;" s="p/4;" }="" else="" s="p/(2*Math.PI)" *="" math.asin="" (c/a);="" if="" (t="">< 1)="" return="" -0.5*(a*math.pow(2,10*(t-="1))" *="" math.sin(="" (t*d-s)*(2*math.pi)/p="" ))="" +="" b;="" return="" a*math.pow(2,-10*(t-="1))" *="" math.sin(="" (t*d-s)*(2*math.pi)/p="" )*0.5="" +="" c="" +="" b;="" },="" easeinback:="" function="" (t,="" b,="" c,="" d,="" s)="" {="" jshint="" eqeqeq:="" false,="" -w041:="" true="" if="" (s="=" undefined)="" s="1.70158;" return="" c*(t/="d)*t*((s+1)*t" -="" s)="" +="" b;="" },="" easeoutback:="" function="" (t,="" b,="" c,="" d,="" s)="" {="" jshint="" eqeqeq:="" false,="" -w041:="" true="" if="" (s="=" undefined)="" s="1.70158;" return="" c*((t="t/d-1)*t*((s+1)*t" +="" s)="" +="" 1)="" +="" b;="" },="" easeinoutback:="" function="" (t,="" b,="" c,="" d,="" s)="" {="" jshint="" eqeqeq:="" false,="" -w041:="" true="" if="" (s="=" undefined)="" s="1.70158;" if="" ((t/="d/2)">< 1)="" return="" c/2*(t*t*(((s*="(1.525))+1)*t" -="" s))="" +="" b;="" return="" c/2*((t-="2)*t*(((s*=(1.525))+1)*t" +="" s)="" +="" 2)="" +="" b;="" },="" easeinbounce:="" function="" (t,="" b,="" c,="" d)="" {="" return="" c="" -="" service.animations.easeoutbounce="" (d-t,="" 0,="" c,="" d)="" +="" b;="" },="" easeoutbounce:="" function="" (t,="" b,="" c,="" d)="" {="" if="" ((t/="d)">< (1/2.75))="" {="" return="" c*(7.5625*t*t)="" +="" b;="" }="" else="" if="" (t="">< (2/2.75))="" {="" return="" c*(7.5625*(t-="(1.5/2.75))*t" +="" 0.75)="" +="" b;="" }="" else="" if="" (t="">< (2.5/2.75))="" {="" return="" c*(7.5625*(t-="(2.25/2.75))*t" +="" 0.9375)="" +="" b;="" }="" else="" {="" return="" c*(7.5625*(t-="(2.625/2.75))*t" +="" 0.984375)="" +="" b;="" }="" },="" easeinoutbounce:="" function="" (t,="" b,="" c,="" d)="" {="" if="" (t="">< d/2)="" return="" service.animations.easeinbounce="" (t*2,="" 0,="" c,="" d)="" *="" 0.5="" +="" b;="" return="" service.animations.easeoutbounce="" (t*2-d,="" 0,="" c,="" d)="" *="" 0.5="" +="" c*0.5="" +="" b;="" }="" };="" return="" service;="" }]);="" 'use="" strict';="" angular.module('angular-svg-round-progress')="" .directive('roundprogress',="" ['$window',="" 'roundprogressservice',="" 'roundprogressconfig',="" function($window,="" service,="" roundprogressconfig){="" var="" base="{" restrict:="" "ea",="" replace:="" true,="" transclude:="" true,="" scope:{="" current:="" "=", max: " =",="" semi:="" "=", rounded: " =",="" clockwise:="" "=", responsive: " =",="" radius:="" "@",="" color:="" "@",="" bgcolor:="" "@",="" stroke:="" "@",="" duration:="" "@",="" animation:="" "@",="" offset:="" "@"="" }="" };="" if(!service.issupported){="" return="" angular.extend(base,="" {="" placeholder="" element="" to="" keep="" the="" structure="" template:="">
' }); } return angular.extend(base, { link: function(scope, element){ var isNested = !element.hasClass('round-progress-wrapper'); var svg = isNested ? element : element.find('svg').eq(0); var ring = svg.find('path').eq(0); var background = svg.find('circle').eq(0); var options = angular.copy(roundProgressConfig); var lastAnimationId; var parentChangedListener; scope.getOptions = function(){ return options; }; var renderCircle = function(){ var isSemicircle = options.semi; var responsive = options.responsive; var radius = +options.radius || 0; var stroke = +options.stroke; var diameter = radius*2; var backgroundSize = radius - (stroke/2) - service.getOffset(element, options); svg.css({ "top": 0, "left": 0, "position": responsive ? "absolute" : "static", "width": responsive ? "100%" : (diameter + "px"), "height": responsive ? "100%" : (isSemicircle ? radius : diameter) + "px", "overflow": "hidden" // on some browsers the background overflows, if in semicircle mode }); // when nested, the element shouldn't define its own viewBox if(!isNested){ // note that we can't use .attr, because if jQuery is loaded, // it lowercases all attributes and viewBox is case-sensitive svg[0].setAttribute('viewBox', '0 0 ' + diameter + ' ' + (isSemicircle ? radius : diameter)); element.css({ "width": responsive ? "100%" : "auto", "position": "relative", "padding-bottom": responsive ? (isSemicircle ? "50%" : "100%") : 0 }); } element.css({ "width": responsive ? "100%" : "auto", "position": "relative", "padding-bottom": responsive ? (isSemicircle ? "50%" : "100%") : 0 }); ring.css({ "stroke": service.resolveColor(options.color), "stroke-width": stroke, "stroke-linecap": options.rounded ? "round": "butt" }); if(isSemicircle){ ring.attr("transform", options.clockwise ? "translate("+ 0 +","+ diameter +") rotate(-90)" : "translate("+ diameter +", "+ diameter +") rotate(90) scale(-1, 1)"); }else{ ring.attr("transform", options.clockwise ? "" : "scale(-1, 1) translate("+ (-diameter) +" 0)"); } background.attr({ "cx": radius, "cy": radius, "r": backgroundSize >= 0 ? backgroundSize : 0 }).css({ "stroke": service.resolveColor(options.bgcolor), "stroke-width": stroke }); }; var renderState = function(newValue, oldValue, preventAnimationOverride){ var max = service.toNumber(options.max || 0); var end = newValue > 0 ? $window.Math.min(newValue, max) : 0; var start = (oldValue === end || oldValue < 0)="" 0="" :="" (oldvalue="" ||="" 0);="" fixes="" the="" initial="" animation="" var="" changeinvalue="end" -="" start;="" var="" easinganimation="service.animations[options.animation];" var="" starttime="new" $window.date();="" var="" duration="+options.duration" ||="" 0;="" var="" preventanimation="preventAnimationOverride" ||="" (newvalue=""> max && oldValue > max) || (newValue < 0="" &&="" oldvalue="">< 0)="" ||="" duration="">< 25;="" var="" radius="options.radius;" var="" circlesize="radius" -="" (options.stroke/2)="" -="" service.getoffset(element,="" options);="" var="" elementsize="radius*2;" var="" issemicircle="options.semi;" stops="" some="" expensive="" animating="" if="" the="" value="" is="" above="" the="" max="" or="" under="" 0="" if(preventanimation){="" service.updatestate(end,="" max,="" circlesize,="" ring,="" elementsize,="" issemicircle);="" }else{="" $window.cancelanimationframe(lastanimationid);="" (function="" animation(){="" var="" currenttime="$window.Math.min(new" date()="" -="" starttime,="" duration);="" service.updatestate(="" easinganimation(currenttime,="" start,="" changeinvalue,="" duration),="" max,="" circlesize,="" ring,="" elementsize,="" issemicircle);="" if(currenttime="">< duration){="" lastanimationid="$window.requestAnimationFrame(animation);" }="" })();="" }="" };="" var="" keys="Object.keys(base.scope).filter(function(key){" return="" key="" !="=" 'current';="" });="" properties="" that="" are="" used="" only="" for="" presentation="" scope.$watchgroup(keys,="" function(newvalue){="" for(var="" i="0;" i="">< newvalue.length;="" i++){="" if(typeof="" newvalue[i]="" !="=" 'undefined'){="" options[keys[i]]="newValue[i];" }="" }="" rendercircle();="" scope.$broadcast('$parentoffsetchanged');="" it="" doesn't="" have="" to="" listen="" for="" changes="" on="" the="" parent="" unless="" it="" inherits="" if(options.offset="==" 'inherit'="" &&="" !parentchangedlistener){="" parentchangedlistener="scope.$on('$parentOffsetChanged'," function(){="" renderstate(scope.current,="" scope.current,="" true);="" rendercircle();="" });="" }else="" if(options.offset="" !="=" 'inherit'="" &&="" parentchangedlistener){="" parentchangedlistener();="" }="" });="" properties="" that="" are="" used="" during="" animation.="" some="" of="" these="" overlap="" with="" the="" ones="" that="" are="" used="" for="" presentation="" scope.$watchgroup(['current',="" 'max',="" 'animation',="" 'duration',="" 'radius',="" 'stroke',="" 'semi',="" 'offset'],="" function(newvalue,="" oldvalue){="" renderstate(service.tonumber(newvalue[0]),="" service.tonumber(oldvalue[0]));="" });="" },="" template:="" function(element){="" var="" parent="element.parent();" var="" directivename='round-progress' ;="" var="" template="[">', '', '', '', '' ]; while(parent.length && !service.isDirective(parent)){ parent = parent.parent(); } if(!parent || !parent.length){ template.unshift('
'); template.push('
'); } return template.join('\n'); } }); }]);