Patient Forms
Find everything you need to feel prepared for your first visit.
Pediatric Patient Forms
New Patient Forms
Medical Record Release
Notice of Privacy Practice
NC School Health Assessment Form
*School and sport forms will take 3-5 business days to complete, so please schedule your appointments accordingly.
ADHD Evaluation Forms
Vanderbilt Assessment Scale Parent
Vanderbilt Assessment Scale Teacher
Our Vaccine Policy
Vaccines are one of the safest and most effective ways to protect your child’s health. At Rainbow Pediatrics, we follow the recommended American Academy of Pediatrics immunization schedule to keep our patients, families, and community safe. Because we believe strongly in this standard of care, we require that all patients stay up to date on their vaccinations. If you choose not to vaccinate, we understand that every family has different beliefs, and we may not be the right fit. In those cases, we kindly ask families to find a healthcare provider whose approach matches their own.
Join the Rainbow Family
Getting care shouldn’t be complicated. Choose the time and location that work best for your family, and schedule your appointment in just a few clicks.