If you are a first-time patient at Heritage Urgent & Primary Care, you will be asked to complete patient registration forms. For your convenience, you may fill out the following forms, print them, and bring them with you in order to expedite your check-in.
If you are unable to accompany your child or teen please fill out the following:
Treatment of Minors
ALL NEW PRIMARY CARE PATIENTS should have health history completed prior to your first visit.
Other On-Line Forms
620 Dr. Calvin Jones Highway, Suite 212
Wake Forest, NC 27587-3100