Orthodontist Jason Lenk, DMD
12 Mathes Terrace | Durham, NH 03824 | 603.868.1919 • 4 Portland St. | South Berwick, NH 03908 | 207.384.8000

New Patient Forms

patient forms A few easy steps can get you started with your orthodontic treatment:

  1. Schedule an appointment for a complimentary consultation by calling our office at 603.868.1919 or 207.384.8000. You may also request an appointment online.
  2. Please take a minute to print and fill out the Patient Information and Medical History forms before your first appointment.
» Patient Information [ PDF ]
» Patient Medical History [ PDF ]
» (to read only) Patient Privacy Policy [ PDF ]

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