Please bring all needed forms to your child's visit. There will be a charge for all forms that are not brought in the day of the child's visit.
Routine forms that are brought in or requested after the day of the child's visit will be completed within 48 hours for a charge of $8.00. These include, but are not limited to: Kindergarten, Day Care, Sports Forms, Camp forms. If you have a form for completion that is not listed here, please inquire with the Front Desk. Many forms require the parent/guardian to complete the top portion of the form, if this is the case with your form you must complete this prior to submitting it to Carolina Pediatrics for completion.
Immunization Records are always available (24 x 7) on your patient portal at no charge.
Completion of complex forms will be charged $25.00 per form for each initial and updated form requested. These include FMLA forms, College Entrance Forms, Adoption Forms, Driver’s License and Military forms* and can take up to 5 days to complete.
*Military forms, depending on circumstance, may require an office visit in order to complete. This will be determined by the Provider at the time of the request.
If same day service is requested there will be an additional charge of $10.00 per form.
Forms brought in the day of the child's visit will NOT be charged.
Payment is required when form(s) are dropped off – cash, check or credit/debit card. Forms faxed or emailed to the office must be paid via phone prior to completion with a credit/debit card.
There is no charge to the parent or guardian for forms required for pharmacy supplies, OT, Home Health, DSS, Foster Placement, WIC forms, Medication Forms, or Educational Services (EC) forms
All forms can be returned to the requestor via secure email if preferred.
