Patient Forms

PEDIATRICS PATIENT FORMS

EFMP Form

Overseas Screening Form

NC Sports Physical Form

Onslow Participation Form (English)

Onslow Participation Form (Spanish)

 PEDIATRICS PATIENT PRE-VISIT FORMS

2 Month Appointment

4 Month Appointment

6 Month Appointment

9 Month Appointment

12 Month Appointment

15 Month Appointment

18 Month Appointment

24 Month Appointment

36 Month Appointment

When dropping off forms to be completed by your provider, allow 3-5 business days for completion. Allow up to 10 days for EFMP & Overseas Screening forms.

IMPORTANT: Please print and fill out both the NC physical and Onslow participation forms and bring them to your appointment.

 

HOURS
Monday - Friday
0730-1630

Weekends
CLOSED

Holidays
CLOSED
 
CONTACT
910-450-4500 (Phone)
910-450-4783 (Fax) 
 
NURSE ADVICE LINE
910-450-4357, OPTION 2
 
LOCATION
NH-200 Clinic Annex
Recovery Way
SERVICE OPTIONS
 
PEDIATRIC EDUCATION

This is an official U.S. Navy Web site. This is a Department of Defense (DOD) Internet computer system.
Naval Medical Center Camp Lejeune | 100 Brewster Boulevard, Camp Lejeune, NC 28547 |