Accessible Version
Kevin Upton, DDS

New Patient Forms

If you are a new patient to our office, the files below contain our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to get started more quickly than completing them on your arrival.  We can also email or text our forms if you would prefer to fill them out on your phone or computer - just ask!  Thank you and please call our office if you have any questions.

Patient Forms

Print & Complete All Forms Prior To First Office Visit

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (919) 556-2996
View the ADA Accessibility Statement