Pre-Register

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.

New Patient Registration Package

If you have not been seen in our facility please complete this package

Established Patient Registration Package

If you have been seen in our facility in the past 2 years, please complete this package

Consent to Treat Minor

If you are unable to accompany your child or teen please fill out the following:

Locations

Wake Forest
620 Dr Calvin Jones Hwy, #212
Wake Forest, NC 27587
919.761.5678

Raleigh
13721 Strickland Rd, #120
Raleigh, NC 27613
919.741.4677