Call our office today to schedule your appointment!

Patient Forms

forms

Please click on the link(s) below to access our registration forms. Please complete the forms prior to your appointment. While you can submit your insurance card and ID to us online using these forms, it is a good idea to bring them to your appointment, just in case.

It is best to complete these forms at home, where you have time and access to your other health information. However, if you are unable to complete the forms at home before your appointment, please plan to arrive 10-15 minutes early for your visit so that you can complete them in our office, where you can use your personal device or one of our tablets.

Looking for a practice in the Greater Concord area? Contact us at 603-224-4200 to schedule an appointment today!

Contact our office today to schedule your appointment!

Daniel S Haley DMD
5 Chenell Drive
Concord, NH 03301
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