Forms
This section provides additional information including links to health sites, forms, and our own doctor’s advice.
SPORTS & CAMP PHYSICALS
Forsyth County Schools and surrounding counties require children trying out for school sports to have a physical exam annually. Camps and day cares may also require physical exams every one or two years. Even though we may see your child for other reasons throughout the year, these visits are not considered complete physicals and cannot be used to complete your child’s form. If your child desires to participate in school sports or attend camp, and if a physical is needed, please call early to schedule an appointment. If your child has had a recent physical, in the last 6 months, we can complete your form.
KINDERGARTEN PHYSICALS
School systems in this area require that all children receive a complete physical within 365 days of starting kindergarten. This consists of obtaining height, weight, blood pressure, vision screen, audiogram, labwork, and updating immunizations. Each county provides a form for the physician’s office to complete which should be returned to your child’s school after the physical exam. Please bring this form with you to the visit. If the physical is not performed before school begins, you will have a thirty day grace period to have an examination and complete the form. These appointment slots fill up quickly, so please call early to schedule your child’s examination.
FORMS
(Requires Adobe Reader to view/print PDFs)
- New Patient Forms (For new patients or demographic changes)
- Authorization to Bring Child (Authorizes an additional individual to bring your child in for care)
- Transferring TO/FROM (Release Form to Sign)
- HIPAA (Medical privacy)
ADHD VANDERBILT ASSESSMENT FORMS
- Vanderbilt Parent 1st
- Vanderbilt Teacher 1st
- Vanderbilt Parent Follow-Up
- Vanderbilt Teacher Follow-Up
BRIGHT FUTURES WELL CHILD CHECK HANDOUTS
- 1 Month
- 2 Month
- 4 Month
- 6 Month
- 9 Month
- 12 Month
- 15 Month
- 18 Month
- 2 Year
- 3 Year
- 4 Year
- 5 – 6 Year
- 7 – 8 Year Patient
- 7 – 8 Year Parent
- 9 – 10 Year Patient
- 9 – 10 Year Parent
- 11 – 14 Year Patient
- 11 – 14 Year Parent
- 15 – 17 Year Patient
- 15 – 17 Year Parent
- 18 – 21 Year
- Spanish Versions of All the Above and Other Information