Kindergarten

WCPSS Kindergarten Health Assessment Instruction Sheet for Parents - includes a Kindergarten Health Assessment Glossary of Terms.

Preschool and Nursery Physical Form

Athletic PE Forms

Pop Warner Little Scholar's 2008 Physical Fitness & Medical History Form - This form must be dated after January 1, 2008 and then submitted to your LOCAL Pop Warner organzation. Section II of this form must be completed in its entirety ONLY by a Licensed State Examiner (medical doctor, nurse practitioner, etc. - this may vary by state.)

Wake County High School Athletic Participation Form

Wake County Middle School Athletic Participation Form

Immunization

Immunization Record Form - for NC College Applications

Well Child Exam & Immunization Schedule - each exam includes a growth and weight evaluation, a full developmental assessment and a complete physical examination.

Triangle Pediatrics Forms

Triangle Pediatrics New Patient Registration Form - for new patients and for existing patients who may need to update address or insurance information. If you are updating information please complete the entire form.

Triangle Pediatrics Patient Family History Form - a standard family history form.

Triangle Pediatrics Acknowledgement of Receipt of Notice of Privacy Form - An acknowledgement of receipt of Notice of Privacy. Also includes consent for your child's caretakers to seek medical care for your children and a consent for your teenagers to seek medical care.

Cancellation Policy Form - Due to an increasing incidence of the number of scheduled appointments which are not cancelled Triangle Pediatrics has had to follow other practices in the area and enact a written cancellation policy. We feel that this policy will continue to allow us to offer all of our patients same day sick appointments and more timely physical exams.