Patient Forms

Happy kids

For your convenience, please fill out your annual physical forms below a few days before your appointment. All the forms needed are listed under the corresponding age.

For New Patients: Please complete the New Patient Forms below to begin the new patient registration process.

Your forms will be submitted online and are 100% secure.


Faxed to 919-481-3952


School Forms, Medication Forms, Sports Forms & Camp Forms

    • For ANY form to be signed by your physician a recent annual physical MUST be on file.
    • The forms process typically takes 3-5 business days to complete.
    • A $20 RUSH FEE can be administered. You will receive your forms by the end of NEXT business day.

Forms, and “Annual Physical” Season, always seems to be the busiest from May – September with Summer Camps, Sports Leagues, College and Kindergarten Registrations. We ask that you keep this in mind and make your annual physical appointment 2-3 months in advance.  We may not be able to accommodate a last minute appointment for a Physical Exam during this time.

If your child has a current physical on file, drop the forms off at the office and we will call you when they are ready to be picked up. OR they can be scanned and emailed to Be sure to have your portions of the form filled out before sending it in.  Unless otherwise stated, we will email the forms back to you.


To make an appointment, please contact us at (919) 460-0993.