Streamline Your Visit

Tired of filling out forms in our waiting room? Now you can download all our forms right here and fill them out in the comfort of your own home! Feel free to call us at 910-392-5634 with any questions.

"The developmental forms below are under copyright and are for the exclusive use of Cape Fear Pediatrics patients in preparation for their wellness exams."

6 Month Development Questionnaire

12 Month Development Questionnaire

18 Month Development Questionnaire

24 Month Development Questionnaire

36 Month Development Questionnaire

48 Month Development Questionnaire

60 Month Development Questionnaire

ADHD Medication Policies

Financial Policy

Patient Registration

Past Medical History Questionnaire

Privacy Practices

Teen Screening Questions

Hampstead office
14 Hampstead Village
Hampstead, NC 28443
910-270-3673 Phone
910-270-0529 Fax
Wilmington office
3505 Converse Drive, Suite 200
Wilmington, NC 28403
910-392-5634 Phone
910-392-5654 Fax