Wednesday, 21 September 2016 20:31

New Patients

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DENTAL by DESIGN would like to make your first dentist office appointment even faster by using these printable new patient forms below. For more information on our Portsmouth dental services and how to make best use of these forms, please call our office at: (603) 431-4601.

Patient Registration Option

It’s More Convenient

Once you make an appointment, our office will ask you to provide patient registration details such as name and address, responsible party, consent for treatment, etc. You can save time by printing and filling in these forms yourself.

Bring The Forms With You

After you’ve completed the medical history and new patient forms, simply bring them with you on the day of your visit. Alternately, you can also fax them to us at (603) 431-1741 prior to your dental appointment — if you prefer.

Although it’s not required, bringing completed forms with you will save time spent at our office and help make your first appointment less troublesome. If you have any problems downloading the forms, be sure to call our office and we will gladly send them by email, mail, or fax them to you.

Just so you’ll know, our online registration form  and website authorization forms are PDF document files. You must have the current Adobe Acrobat Reader (free) installed on your machine to view & print the forms.

Click to download our New Patient form »
Click to download our Website Authorization form »
Click to download our Financial Policies form »


Read 57935 times Last modified on Tuesday, 26 September 2017 22:50
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