69 Silver Street

Dover, NH 03820

(603) 742-4123

11 Hampton Road

Exeter, NH 03833

(603) 772-2553

,

Menu

Forms

New Patient Paperwork

Medical History (2 pages): medical-history-form-pg1.docx

                                                  medical-history-form-pg2.docx

Hipaa Privacy: hipaa20notice20of20privacy20practices.pdf

Hipaa Acknowledgement: acknowledgement20of20hippa.pdf


Surgical Consent Forms

Biopsy: biopsy-consent.doc

Crown Lengthening: consent-for-crown-lengthening-surgery.doc

Extraction: consent-for-extraction-of-teeth.doc

Dental Implant: dental-implant-consent-2.doc

Extraction with Bone Augmentation: extraction-and-ridge-augmentation-consent.doc

LANAP Laser Surgery: lanap-informed-consent.doc

Periodontal, Osseous Surgery: periodontal-surgery-consent1.docx

Sinus Augmentation: sinus-augmentation-consent.doc

Other

One Week Post Surgical Instructions: sr-instructions.docx

Payment Plan: payment-plan-form.docx


Contact Us

Send Us an Email

Featured Services

Click to find out more

Hours of Operation

Our Regular Schedule

Dover Location

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Exeter Location

Monday:

Closed

Tuesday:

Closed

Wednesday:

Closed

Thursday:

Closed

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Our Location

Find us on the map