Patient Info & Forms

CAP Patient Basics

• Tips for School/ Camp Form Completion
• How To Use Patient Portal (Desktop version)
  • Changing View to Another Family Member (Desktop)
  • Vaccination History (Desktop)
  • Visit History and Patient Instructions (Desktop)
  • Handouts given by your Provider (Desktop)
  • Letters to Print (Desktop)
  • Sending Messages and Attachments (Desktop)
• How to Use Patient Portal (Mobile version)
  • How to Use Athena Patient Portal on your Mobile
  • Changing View to Another Family Member (mobile)
  • Sending Messages and Attachments (Mobile)
• ABC7 Fall Illnesses 2022(opens in a new tab)
• Omicron and the Holidays Dec 2021
• COVID Vaccine 5-11yo FAQ
• CAP COVID Vaccine Statement
• Lactation Appointment Information

School Forms

Check here for the most common forms needed in the DMV! Capital Area Pediatrics charges $15 per separate form.  

Please read our  Tips for School/ Camp Form Completion.

• Virginia School Entrance Form(opens in a new tab). Page 1 should be completed by you. Please complete this TB questionnaire for the provider to complete your form.  
• VHSL Sports Form (High School Sports). (opens in a new tab)Please print and bring all 4 pages to your appointment. Page 2 must be completed prior to the visit. The provider must review page 2 before completing the form.
• Maryland State Health Inventory Form.  Part 1 should be completed by you.  
• Washington DC Universal Health Form for school entrance(opens in a new tab). Part 1 should be completed by you.
• Arlington County forms:
  • Medication Administration Form(opens in a new tab)
  • Arlington County TB Risk Screen Form
  • TB screening questionnaire
• Fairfax County forms:
  • Medication Authorization Form
  • EpiPen Authorization Form
  • Inhaler Authorization Form
  • Virginia Asthma Action Plan (Required form, needs provider signature)
  • FCPS Asthma Action Plan (Supplement to above, needs parent signature only)
• Falls Church City Preschool Forms
• Loudoun County forms:
  • Loudoun County TB clearance form
  • TB screening questionnaire
  • Medication forms(opens in a new tab)
• Prince William County Medication Authorization Form
• Washington DC Medication Authorization Form(opens in a new tab)
• Boy Scouts Form(opens in a new tab).  Please fill out Parts A and B and bring to your appointment.  The provider must complete Part C.