Wake Physician Practices
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Patient Information and Forms

Thank you for choosing WakeMed Physician Practices - Children's Endocrinology & Diabetes. We are located across the street from the WakeMed Raleigh Campus at the WakeMed Raleigh Medical Park within the Duke Children's & WakeMed Children's Specialty Services Center, 23 Sunnybrook Road, Suite 200, Raleigh, NC, 27610.  Parking is quick and easy with convenient access to our office.

Hours of Operation

8 am to 4:30 pm, Monday through Friday

New Patients

Endocrinology Assessment Form

Notice of Privacy Practices
Patient Registration Form
Patient Registration Form (Spanish)

Please complete these and bring them to your initial clinic visit or fax them to (919) 231-0314 prior to your clinic visit.  If your child's endocrine problem is not new, you will need to request medical records from your previous endocrinology care provider.

For Referring Physicians

Physicians who want to refer a patient to our practice should fill out a referral form and fax it along with a growth chart and pertinent medical records to (919) 231-0314.

Children's Endocrinology & Diabetes Physician Referral Form

Emergent Cases

If you see a child newly diagnosed with diabetes mellitus or are in need of an immediate endocrine consult, call WakeMed's provider to provider service at 919-350-4P2P (350-4727) to be connected to our on-call provider. Our team will decide whether your patient needs hospitalization or can be seen in our outpatient office.

If your call is not urgent, please call the Children's Endocrinology & Diabetes office at 919-350-7584 open Monday through Friday, 8 am to 4:30 pm.

Forms