Patient Forms
Complete the required medical and dental history forms before your visit. Filling these out ahead of time keeps your check-in quick and lets us focus on your care.
Forms for New and Existing Patients
Please review and complete the forms below ahead of your appointment. Bring any pages you filled out with you to the office.
- Medical History Health information for new and existing patients
- Dental History Prior dental care and treatment background
- New Patient Registration Contact details and practice information
- Insurance Information Plan details and member identification
If you need a form completed in a different way, or you have questions about what to include, call the office at 978-448-5241 or send a note to info@drpeterbreen.com.
Before You Arrive
Completed forms streamline the check-in process, so you spend less time in the waiting room and more time with the doctor and hygienists.
- Fill out each required form and sign where indicated.
- Bring your insurance card and a photo ID.
- List current medications and any health conditions on the medical history form.
- Let the office know if anything has changed since your last visit.
Ready to schedule? Request an appointment or contact the office for help with your forms.
Have a Question About Forms?
Our team is happy to walk you through any of the paperwork before your visit. Reach us by phone at 978-448-5241 or by email at info@drpeterbreen.com.