Patient Forms & Release of Information
At Little Oaks Pediatrics, we are committed to providing timely, compassionate, and evidence-based care in a friendly environment. We believe in partnering with families to support your child’s health and well-being every step of the way.
Our Mission
We strive to build life-long relationships with our patients and their families by offering care that is:
✔ Compassionate – We listen to our young patients and their families.
✔ Excellent – We provide high-quality, child-centered medical care.
✔ Supportive – We guide families on a path to optimal health and wellness.
✔ Continually Improving – We pursue excellence through ongoing education and best practices.
What to Bring to Your First Visit
To ensure a smooth and efficient first appointment, please bring:
- Your child's immunization records
- Completed patient forms (available below)
- Insurance information
- Any relevant medical history
Patient Forms To save time at your appointment, you may download, print, and complete the following forms before your visit:
- Patient Registration Form
- New Patient forms
- Medical History Form
- Release of Information
- Notice of Privacy Practices
- Patients' Rights and Responsibilities
➡ Prefer to save paper? Simply print the first four forms and complete them before your visit.
(Note: To view or print these forms, you’ll need Adobe Acrobat Reader. Click the red Adobe to download it.)
What to Expect at Your First Visit
On the day of your appointment, please arrive 15 minutes early to complete any remaining paperwork and get familiar with our office and staff. Our team looks forward to welcoming you and working together to support your child’s health!
📞 Questions? Call us at (919) 391-9616. We’re happy to help!
13200 Strickland Road, Suite 120
Raleigh, NC 27613, US

