Pamela Weitzel, DMD

656 Main Street, Contoocook, NH - 603.746.6747

New Patient Forms

Downloading new patent forms enables you to print and complete our forms at home. You may also complete the forms at the office on your first visit if you prefer.

You will need Acrobat Reader to open these files. If you do not already have Acrobat Reader installed, you can download it here for free.

Download the latest version of  Adobe Acrobat Reader.



Click here to download Patient Registration Form

Click here to download Adult Dental History Form

Click here to download Child Dental History Form

Click here to download Medical History Form

Click here to download Notice of Privacy Practices

Click here to download Acknowledgment of Privacy Practices Notice

Click here to download Records Release Form

Office Hours by Appointment

656 Main Street, Contoocook, NH

603.746.4674

Monday, Tuesday, Thursday, Friday

8:00 AM - 5:00 PM

Occasional Saturdays

8:00 AM - 4:00 PM