General Dentistry - DERRY, NH

Patient Center

new Patient Information

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

When booking your appointment we do require a deposit from you which is your confirmation of your commitment to attend your appointment. It will be deducted from your bill for the treatment rendered. The reason why we adopted this policy is because the Dr’s time has been allocated and is often very difficult to fill the cancelled appointment time within 48 hours notice. Your appointment is a set time period reserved especially for you. This policy also allows us to operate more efficiently and helps us keep costs low for our patients.

Download, Print Portrait layout & Complete Prior To 1st Visit
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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