Patient Forms

We understand you would love to save time during your busy day, and this includes your visits to Merrimack Dental Associates. For this reason, we are pleased to offer our patient forms online! You can print them off ahead of time and bring them with you to your appointment. To arrange your visit with one of our dentists. Please call 978-682-0336! We look forward to providing you with quality dental care in Methuen, Massachusetts.

Click the corresponding buttons below to download the forms.

ACKNOWLEDGEMENT OF RECEIPT

INFORMED CONSENT FORM

MEDICAL HISTORY

NOTICE OF PRIVACY PRACTICES

OFFICE FINANCIAL POLICY

NEW PATIENT FORMS

PROCEDURES

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Hours of Operation

Our Regular Schedule

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-3:00 pm

Saturday:

8:00 am-2:00 pm

Sunday:

Closed