Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Child Patient Form PDF
  • Adult Patient Form PDF

If you're unable to open PDF files, you can get Adobe Reader® for free.

(603) 382-6976
166 Plaistow Rd, Unit G 1
Plaistow, NH 03865
Mon8:00am to 5:00pm
Tue8:00am to 5:00pm
Wed8:00am to 5:00pm
Thu8:00am to 5:00pm
FriClosed
Sat8:00am to 1:00pm
highland family dental