Cornerstone Pediatric and Adolescent Medicine

FLU CLINIC FORMS

Flu Clinic Sheet (one per patient)

Flu Vaccine Information Sheet---Injectable Vaccine

Flu Vaccine Information Sheet---Nasal Vaccine

KINDERGARTEN FORMS

Kindergarten Physical Form

SPORTS PARTICIPATION FORMS

HIGH SCHOOL SPORTS FORM

MIDDLE SCHOOL SPORTS FORM

SCHOOL MEDICATION FORM

SCHOOL MEDICATION FORM

Patient Education Resources

LINKS:

• American Academy of Pediatrics
• KINDERGARTEN and Other School Forms Wake County School Website)
• Centers for Disease Control
• Foreign Travel Information
• Immunizations for children 0-6 years old
• Immunizations for children 7-18 years old
• www.healthychildren.org

QUESTIONNAIRES:

6 Month Development Questionnaire

12 Month Development Questionnaire

18 Month Development Questionnaire

24 Month Development Questionnaire 3-5 year old Questionnaire

Frequently Asked Questions

• Feeding issues and disorders 

Staying Healthy

• Nutritional Needs of School-Age Children
• Kids Growth Network--Resource for Parents  
• Healthy Lifestyles and Weight Control 
• Food Guidelines and New Food Pyramid 

Fun Sites for Kids, Teens and Parents

• Health Site for kids, teens and parents  
• Fun (and yucky) facts about your body  

We Accept the Following Insurances

Aetna,  Blue Cross/Blue Shield, Cigna, Great West, Medicaid, United Healthcare, and many more.

Contact us at 919-460-0993 to confirm we accept your specific insurance.