R&R Pediatrics of Cary, NC


Download R & R Pediatrics Forms

ADHD Medication Refill Request Form
Authorization Form
Authorization Form to Request Medical Records
Authorization Form to Treat Minor Child

Consent and Acknowledge Form
Consent to Discuss PHI Form
Demographics Information Form
Initial History Form

Lead Risk Assessment Form
Patient Registration Form
Records Release Consent Form
TB Screening Form

Fees Form
Initial History Form
Record Release Consent Form
2008-2009 R & R Pediatrics | 3100 NC HWY 55, Suite 202, Cary NC 27519 | Phone:(919) 367-9833 | Fax:(919) 367-9832
Emails: General - kidsdoc@rrpeds.com | Ramadevi Nanga, M.D - nangar@rrpeds.com | Raveendra B. Orugunta, M.D - oruguntar@rrpeds.com