New Patient Information


We welcome you to our practice, and we are honored that you are considering us for your dental care. We are looking forward to meeting you. The following forms allow us to get to know you better, and to help make your visit to us pleasant and organized.

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Patient Information Form

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Dental History

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Office Commitments


It is very important that you return this information to us before your first appointment with us. Medical conditions that are unknown to us may prevent us from performing a comprehensive exam. Knowing your past dental history and your goals allows us to formulate treatments that are tailored to your desires. Most importantly, having the most recent x-rays and information from your previous dentist may save you time and the costs of retaking them if they are current enough. By receiving this information prior to your appointment, we can even enter insurance benefits into our computer system so that we can estimate what it will cover for you. This can be done in several ways.

1. You can print out the forms and send them to us in the mail. Our address is:

Dental Visions 193 Kinsley Street, Suit 105 Nashua, NH 03060

2. You can print out the forms, and fax them. Our Fax number is (603) 595-8577

3. You can e-mail them to us at Info@NEDentalVisions.com

Office Hours

Monday - Thursday
8am - 5pm (closed for lunch 12-1:30)

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Meet Dr. Boulard