The following forms will be helpful to you prior to your visit. Click text to access related form.

SCHOOL | DAYCARE | CAMP

Child Care Form
Guilford County Schools Medication Authorization
Kindergarten Health Assessment
NCHSAA Student-Athlete Pre-Participation Physical Evaluation (English)
NCHSAA Student-Athlete Pre-Participation Physical Evaluation (Spanish)

ESTABLISHED PATIENTS

Travel Medicine Clinics
4-5 Month Old Info Sheet
6-9 Month Old Info Sheet
9-12 Month Old Info Sheet

OFFICE FORMS AND POLICIES

Authorization to Release Medical Information
Contracted Insurance Partners
Financial Policy
Forms and Letters Policy
No Show and Cancellation Policy
Non-Discrimination Policy
Notice of Privacy Practices
Permission to Discuss PHI
Separated/Divorced Parents Policy
Vaccine Policy
Well Check Policy