Resources

New Patient Forms and Notifications

  • Welcome letter

    Notice to all Patients

    Please note that our Practice is temporarily closed to all local transfer patients from the NH Seacoast and surrounding areas looking to establish with our Practice. This policy does not affect any newborn children...

    Download

  • Welcome letter

    New Patient Welcome Letter

    Download

  • medical history icon

    Pediatric Registration Form

    Download

  • financial policy icon

    Dover Pediatrics Financial Policy

    Download

  • medical release icon

    New Patient Request to Obtain Medical Records

    Download

Patient Forms

  • medical history icon

    Transferring Care to a New Medical Practice

    Download

  • medical records icon

    Young Adult Release and Consent Form

    Download

  • financial policy icon

    Dover Pediatrics Financial Policy

    Download

  • medical history icon

    Request to Release Confidential Records and Information/Authorization Form

    Download

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