Please assist us at the time of your initial visit to the office by providing the following information:
Your referral slip and x-rays from your referring dentist.
A list of medications you are currently taking (please note that you can print out your patient registration and medical history form from our website.)
Here is the form for you to print.
Patient Registration and History Form
If you have dental insurance, please bring any forms or insurance cards with you to the appointment.
Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.
Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring antibiotic pre-medication, severe diabetes, or hypertension).
We will complete an in-depth medical and dental health history and a thorough examination to measure for jaw joint disease, oral cancer, bite problems, periodontal bone loss and other signs of periodontal disease.
The Periodontal Probing Examination
Lebanon NH • Hanover NH • Lyme NH • Woodstock VT • Norwich VTWhite River Junction VT