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

After a long, slow winter, the temperature is slowly warming and the flu is gradually disappearing. With warmer weather comes outside adventures that always bring a new set of concerns and the occasional injury. Make sure to apply sunscreen on your child to prevent sunburns, keep them safe as they play, stay hydrated during the hot weather, and apply insect repellent for those hungry mosquitos.


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...

Asthma Quality Improvement

ICC participated with the Alabama Chapter of the American Academy of Pediatrics as one of twelve practices statewide...

Current Projects