The Booklet, Bridge to Adulthood, is a valuable resource that our 18-year-old and older patients may use for information on becoming responsible for their own healthcare as an adult and transitioning their medical care to an adult provider when necessary.

Requesting a Records Transfer

To help you request a transfer of your records to another office or clinic, we have provided a Records Release Form. The blank form may be printed and then filled out by hand, or you may fill out the form electronically while online, then print the completed form. Be sure to sign the form, and we would appreciate knowing the reason for your transfer. The signed form may be brought or mailed to our office to request your records to be transferred. Please allow two weeks for your records transfer request to be processed.

Use of Health Information for Patients 18 Years of Age and Older

The following forms allow patients who are 18 years of age and older to inform Raleigh Pediatric Associates how they would like their Health Information used and with whom such information can be shared.

Consent Form

Declination Form