Professional Arts Centre   40 Winter Street Suite 201   Rochester, NH 03867 Phone: 603 332 7300 Fax: 603 332 7331
PATIENT INFO & FORMS

We know your time is important! For your convenience we have provided the forms you will need to fill out and bring with you at your time of visit. The forms you will need to bring with you are listed below and have a check mark next to them.

The forms that are not checked are provided for your information. You may choose to print these forms and keep them at home for your own files.

Alliance for Dental Care Policies and Information
New Patient Registration Form
Medical History Adult 14 years of age or older
Child Dental Medical History Children 13 years of age or younger
 
  • New Patient Forms
  •  
  • Patient Log In
  •   Alliance for Dental Care Privacy Practices
      Dental Restorative Materials: The Choices
      Dental Materials Fact Sheet

    The forms above are in Adobe Acrobat PDF format. These forms are fillable – simply save these forms on your computer, start typing your information and email us back the pdf file as an attachment or bring a printed copy with you on your appointment.

    CONSENT FORMS AND POST OPERATIVE INSTRUCTIONS


    Informed Consent form for Extraction
    Informed Consent for Dental Implants
    Informed Consent form for Ridge Preservation
    Informed Consent form for Root Canal Therapy
    Post operative Instructions for an Extraction
    Post Operative Instructions for Dental Implant
    Ridge Preservation Procedure Information
     

    If you do not have Adobe Acrobat installed on your computer you can download it from here.