85 Darby Road
Paoli, PA 19301

New Patient Forms

Thank you for choosing Koup Family Dental as your resource for dental health!

To help save you time, please download the forms below, fill them in at your convenience, and bring them to your first visit.

If you prefer to fill out the forms in our office, please come about 20 minutes early to complete them.

No Dental Insurance?
We’re Here to Help!

Get the care you need through our flexible and affordable in-house savings plan. It:

  • Covers the cost of preventive care, including your semi-annual dental exams, cleanings and X-rays
  • Offers great discounts on other treatments for common issues like cavities and gum disease

Koup Family Dental

85 Darby Rd.
Paoli, PA 19301


85 Darby Rd.
Paoli, PA 19301


Office Hours

Monday   9:00am – 4:00pm
Tuesday   8:00am – 6:00pm
Wednesday   7:00am – 1:00pm
Thursday   7:00am – 5:00pm
Friday, Saturday, Sunday: Closed

© Richard F. Koup, D.M.D. & Associates, LLC   All Rights Reserved. | Website by Barb Peterson Web Design | Image Credits