Helping create long, healthy lives... one Confident, Beautiful smile at a time.

You can save up to 20 minutes in our office by filling out your patient registration form from the convenience of your own home.

Health History Form

Click here or on the thumbnail image to the left to download a printable version of our Patient Health History Form. Print it from your home computer, fill it out, and bring it in to us on your first visit.


Note: In order to download this form, you must have Acrobat Reader Installed in your System. Click here to download Acrobat Reader.

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NH Center for Periodontics is a proud member of:

Pankey Institute
American Dental Association
American Academy of Periodontology
American Board of Periodontology
Chao Pinhole® Surgical Technique