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NEW PATIENT FORMS

Thank you for your interest in our office! We’re excited to meet you and your family!

Before your first visit, please complete the New Patient Paperwork forms linked below. Print the forms, fill them out by hand, and return them to our office so we can create your patient chart. If the paperwork is not completed by hand, you may be asked to re-do them. 

Please note that we are unable to schedule an appointment until these forms have been completed and received.

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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