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919-557-1871

Dentist - Holly Springs, North Carolina

Keisha B. Davis, DDS, PA

 2.  Once you have filled out the new patients forms then scan the documents and submit forms using the Upload Forms button below.

1 .Click Download Forms button below to print and fill out new patient documents.

New Patient Instructions:
New Patients Forms - Dentist in Holly Springs, NC


Please print, fill out, scan, and upload these forms so we can expedite your first visit: 


Below is a listed of specific forms for New Patients:

      - ​Patient Information

      - Health History

      - Dental History

      - Assignment of Benefits

      - Financial Policy

      - Notice of Privacy Practices Acknowledgement


In order to download or view these forms you will need Adobe Acrobat Reader installed.

Click here to download it.