New Patient Information
The team at Merrimack Dental Associates knows that seeing a dentist can be intimidating. We strive to make your first visit (and all your visits) as pleasant and stress-free as possible. For questions or concerns, please call our office at 603.424.6131.
For more information about your new patient visit, see our Frequently Asked Questions.
New Patient Forms
Please download the following forms, complete, and bring them with you to your first appointment:
Please provide 48 hours advanced notice when an appointment time needs to be changed. Appointments that are failed without advance notification are subject to a $40 appointment fee. Failing two or more appointments in an eight month period may limit the ability to schedule future advance appointments.
Payment of the non-insured balance for each appointment is due at the time of service. It is each patient's responsibility to know available insurance benefits. However, as a courtesy, we will bill your insurance carrier. Any balance remaining after insurance company processing is due immediately upon closure of each claim.
Have Any Additional Questions or Concerns?
Contact our office at 603.424.6131 or via email at