97 Cornerstone Drive, Cary NC 27519 (Stone Creek Village)

Patient Forms

For your convenience, please fill out your annual physical forms below a few days before your appointment. All the forms needed are listed under the corresponding age.

For New Patients: Please complete the New Patient Forms below to begin the new patient registration process.

Your forms will be submitted online and are 100% secure.

Thank you!

Flu Clinic Consent Forms
Flu Vaccine Consent Form


Can be emailed to cp-medicalrecords@rdmgpa.com or Faxed to 919-481-3952

Staying in the practice but need records?
Medical Records Release Form

Moving TO the area / Switching TO our practice?
Medical Release Form- Transferring In

Moving OUT of the area / Switching OUT of our practice?
Medical Release Form- Transferring Out

Giving permission for someone else to bring your child for their visit?  OR for your teenager (16yr+) to come alone?

Medical Authorization Consent For Treatment 



  1. For ANY form to be signed by your physician a recent annual physical MUST be on file.
  2. The forms process typically takes 3-5 business days to complete.
  3. A $20 RUSH FEE can be administered. You will receive your forms by the end of NEXT business day.

Forms, and “Annual Physical” Season, always seems to be the busiest from May – September with Summer Camps, Sports Leagues, College and Kindergarten Registrations. We ask that you keep this in mind and make your annual physical appointment 2-3 months in advance.  We may not be able to accommodate a last minute appointment for a Physical Exam during this time. 

If your child has a current physical on file, drop the forms off at the office and we will call you when they are ready to be picked up. OR they can be scanned and emailed to info-cs@rdmgpa.com. Be sure to have your portions of the form filled out before sending it in.  Unless otherwise stated, we will email the forms back to you.


Wake County Sports Participation Forms / “Ticket to Play”
High School Sports Form

Middle School Sports Form

School Medication Form 1702

School Medication Form

Kindergarten Forms

Kindergarten Health Assessment Form

What you need to know for Kindergarten 

Wake County Enrollment Forms

Elementary School Health Assessment Form

School Enrollment

To make an appointment, please contact us at (919) 460-0993.

How are we doing?

Take our 2 minute patient satisfaction survey.

Patient Portal