Patient Forms

At Maruthi Pediatrics, we know that your time is valuable. That’s why we offer you with online patient forms that you can complete prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your medical background, allowing us to provide you with the most effective care possible. Please do not hesitate to contact us if you have any questions about patient forms or your appointment.
Please note that the Questionnaires can be submitted via online. Alternatively, some are available as download (you’ll need the latest version of Adobe acrobat to open the downloaded forms).

2 Month Questionnaire

Please submit the online form 

4 Month Questionnaire

Please submit the online form

6 Month Questionnaire

Please submit the online form [alternatively, Download, Fill and Print]

9 Month Questionnaire

Please submit the online form

12 Month Questionnaire

Please submit the online form [alternatively, Download, Fill and Print]

16 Month Questionnaire

Please submit the online form

18 Month Questionnaire

Please submit the online form [alternatively, Download, Fill and Print]

24 Month Questionnaire

Please submit the online form [alternatively, Download, Fill and Print]

Medical Form for School
Kindergarten Physical Form
NC Health Assessment Transmittal Form

Hours & Location