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NEW PATIENT FORMS

Thank you so much for your interest in our office! We look forward to meeting you and your family! 

Before your first visit, we will ask that you complete New Patient Paperwork forms first, they are below.

Please print and return the completed forms so we are able to create your patient chart.

We are unable to schedule an appointment without these forms!! â€‹â€‹â€‹â€‹

Once you have completed your paperwork, you can send the packet to us whichever way is easiest for you! 

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  • Email - info@bentonfamilydental.com

  • Fax - 603-418-6316

  • Mail - 149 Portsmouth Ave, Stratham, NH 03885. 

  • In Person - Come on in and say hello! 

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CONTACT US! 

149 Portsmouth Ave

Stratham, NH 03885

603-772-3264

NORMAL OFFICE HOURS

Monday ~ 8AM - 5PM 

​Tuesday ~ 8AM - 5PM 

​Wednesday ~ CLOSED

​Thursday ~ 8AM - 5PM 

​Friday ~ 8AM - 4PM

​Saturday ~ CLOSED 

Sunday ~ CLOSED

Copyright© 2025 All Rights Reserved
Benton Family Dental 

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