The forms listed below need filled out and returned completed before any appointments can be made/one for each child:
Our FAX number is 252-622-4014
Your child is not registered unless we receive all forms signed and completed.
Please call our office to verify that we have received your completed registration forms. The "RECORDS RELEASE" is important that it is dated & signed in order for us to get records from your previous provider.
Thank you,
Oceanside Pediatrics Staff
Please print out all forms and have completed.
We need one registration packet per child. These are
scanned into each individual child's chart.
PRIVACY RIGHTS PAGE/INITIAL PAGE TWO
RECORDS RELEASE
If you have difficulty printing out our forms,
please stop by our office and pick up new patient forms from the front desk.