Download Our New Patient Forms

Below are six PDF forms new patients must complete. You can fill them out at home and bring them in or fax them to us at 603-366-4410. Please note that all contact information (email, cell phone, etc.) is kept strictly confidential and is not shared with outside parties. This information is used for appointment reminders and patient information emails only. Thank you.

  1. Patient Registration Form (click to download)
  2. Patient Medical History (click to download)
  3. Dental Materials (click to download)
  4. Anesthesia Consent Form (click to download)
  5. Policy Consent Form(click to download)
  6. Privacy Policy (click to download)

If you have trouble opening these documents, click here to download the latest version of Adobe Acrobat Reader.