Appointments Demographic Information Consent for Treatment of Minor Child [Español] Over 18 HIPAA Authorization [Español] Happy 18th Birthday Patient Financial Policy [Español] Medical History Form [Español] Medical Record Release Form[Español] Portal Sign-up [Español]
School & Daycare Daycare NC School Health Assessment Form (Kindergarten physical form) Parent and Physician Order for Medication form (1702 Form) [Español Wake County High School Sports Form Wake County Middle School Sports form If dropping off a form, please complete the parent portion of the form prior to bringing to the office. After 5 business days, your form will be available in the office and on the portal.
If dropping off a form, please complete the parent portion of the form prior to bringing to the office. After 5 business days, your form will be available in the office and on the portal.