The following forms are in PDF format. To get the free Adobe PDF Reader click here .
You may also find other forms you need under our "School and Camp Forms" page
New Patient Package / Part 1 AND New Patient Package / Part 2 -- please print and complete both parts
Patient Rights and Responsibilities
Release of Records / Wilmington - This is a form that needs to be completed in order for another practice to release medical records to Carolina Pediatrics and is also used to have Carolina Pediatrics send records out
Release of Records / Hampstead - This is a form that needs to be completed in order for another practice to release medical records to Carolina Pediatrics and is also used to have Carolina Pediatrics send records out