421 West College Street
Florence, Alabama 35630
Phone: 256-764-9522

Documents and Forms

Authorization for Assignment of benefits.

Interpreter Services Form

Authorization for ICC to release medical records

Authorization to Disclose information to ICC

First time patient information form

Notice of Nondiscrimination Form

Permission for children to be seen with non-parent/guardian.

Notice of Privacy Practices

ICC News

Spring - Summer News

Due to the coronavirus situation, we now have the ability to treat your child over the telephone! 

Reach Out and Read

Our Reach Out and Read program started in 2008 and since then we have distributed over 10,000 books to children at well care visits age 6 months through 5...

Adolescent Well Visit Learning Collaborative

At Infants' and Children's Clinic P.C., we strive to provide the best, most comprehensive care for all of our...

Current Projects