You can now complete your New Patient and Update forms online! By completing your patient forms in advance you will save time and effort at your first appointment, and our dentists and team will be better prepared for your visit. We encourage you to complete and submit your forms as soon as you schedule your appointment, and at least 1 week prior to your visit so that we can have everything ready for you.
Included in the forms below is a Release of Record form in a PDF format. This may be helpful in getting your records and X-rays from your previous dental office. Please let us know if you need any assistance with this.
Appointment Information 2015
Dental History Form
Financial Information for patients 2016
HIPAA Consent NHCCD
HIPAA Notice of Privacy Practices 2013
Medical History Form
Pt Information Form
Release of Records from Another Office
If you have any questions about our patient forms and to schedule an appointment with our dentists in Amherst, New Hampshire, please contact New Hampshire Center for Comprehensive Dentistry today at 603-672-6546.