Below are links to Children’s Health Services Patient Forms. Please download and print before your first office appointment. Some of our forms are in Adobe PDF format. If needed, you can download the free Adobe Reader.



Please feel free to call us at 252-329-7337 if you have questions.

First Visit Forms

Annual Paperwork

Behavioral Forms

Ages and Stages Questionnaires

Note: this links to the official ASQ website where you can print the questionnaires.

Patient Education & Informative Charts

Due to Hurricane Florence, Children’s Health Services will be closed on September 14th, 2018. If your child has an urgent need, we will have an On Call provider available by calling our number (252)329-7337. If you have a true emergency, please call 911 or go to the closest emergency room.