Forms

School Entry

WCPSS School Entry Form
WCPSS form required for all students entering the public school system for the first time Kindergarten through 12th grade.

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 organization. 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

Triangle Pediatrics Health History Form 

Immunization

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

Medical Records Release Form

Medical Records Request – Disclosure of
Protected Information

New Patient Registration Form

18 Year Old Consent Form

New Patient Packet (English):
Please complete, print, sign and bring to your appointment

New Patient Packet (Spanish):
Por favor complete, imprima, firme y traiga a su cita.