TOTS n TEENS PEDIATRICS
Every child is special here !
Tel : (919) 362-7155
Address: 3434 Kildaire Farm Rd, Ste # 124, Cary, NC 27518
FORMS
Tots n Teens Pediatrics is dedicated to providing you with the highest quality, cost effective medical care for your children.
Forms:
Save time when visiting the office and download all your patient forms here.
Please find Forms that will fast track your appointments. If you have any questions, please feel free to call our office for more information. If you request for physical hard copies of Forms, we will charge $5 per printed page for each Form at our office.
Kindergarten Health Assessment
Medical History Form
New Patient Questionnaire
Patient Satisfaction Survey
Middle School Athletic Participation
High School Athletic Participation
North Carolina Health Assessment Transmittal Form
Wake County Public School System Form 1702 Parent Request and Physicians’ Order Form for Medication
For the most up-to-date information on our accepted private health insurance plans
contact our clinic directly at (919) 362-7155
Excellence in Patient Service
NCQA - The National Committee for Quality Assurance is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality. Tots n Teens is PCMH (Patient-Centered Medical Home) Recognized Practice.