Atrium Health Levine Children's Indian Trail Pediatrics

Atrium Health Levine Children's Indian Trail Pediatrics, located in Indian Trail, NC, opened in Fall 2005 to better serve the growing pediatric population in our community.

Our practice offers a full range of pediatric and adolescent services, including preventive medicine, evaluations for school, behavioral problems and treatment of all childhood illnesses.

Services Provided at Atrium Health Levine Children's Indian Trail Pediatrics

• Pediatric and adolescent medicine
• Newborn care
• Physicals
• Immunizations
• 24 hour telephone coverage
• Prevention and management of chronic illnesses

Flu Vaccine Clinics

We offer flu vaccine clinics in the morning and afternoon. Please call or schedule your appointment online.

Patient Forms

Atrium Health Levine Children's Indian Trail Pediatrics provides new and existing patients the following forms for download to complete and bring to your appointment:

New Patient Forms

• Patient Registration Form (PDF)
• Minor/Child Registration Form (PDF)
• CPN Ongoing Communications (PDF)
• Parental Consent to Treat (PDF)
• Payment Policy & Patient Statement of Responsibility (PDF)
• How Did You Hear Indian Trail Pediatrics (PDF)

Release of Medical Records

• Authorization for Release of Health Information (PDF)
• Acknowledgement Form (HIPAA) (PDF)
• Children's Medical Report (PDF)
• Sports Preparticipation History Form (PDF)

NICHQ Vanderbilt Assessment Scale

• Parent Informant (PDF)
• Parent - Follow-up (PDF)
• Teacher Informant (PDF)
• Teacher - Follow-up (PDF)

MCHAT Autism Screening Form (modified checklist for Autism in Toddlers)

• English (PDF)
• en Español (PDF)