Patient Forms for Dental Expressions

If you are a new patient, WELCOME!

Below are five 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 all contact information (email, cell phone) 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.

adobe pdf document Patient Medical History (click to download)

adobe pdf document Dental Materials (click to download)

adobe pdf document Anesthesia Consent Form (click to download)

adobe pdf document Privacy Policy (click to download)

adobe pdf document Policy Consent Form (click to download)

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

Dental Expressions | 36 Endicott St East, Alpenrose Resort Plaza, Weirs Beach, NH 03247 | (603) 366-4400
info@dentalexpressionsnh.com
Laconia dentist Darren Boles specializes in general dentistry, restorative dentistry and cosmetic dentistry, including teeth whitening, Invisalign and dental veneers.
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