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

Warm weather is coming! Be sure to use sunscreen and be injury aware as your child explores the outdoors this spring and summer.


This is also a great time to prepare for the up-coming school year this fall. Now is the time to schedule your check-ups for Kindergarten and 6th grade immunizations, also we encourage you to get a jump start on school forms. We are now accepting Medication Administration forms for the up-coming school year.


Schedules are now available, call our office today at 256-764-9522 to schedule your appointment.


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