Below you will find two options for completing the new patient paperwork:

  1. You can fill out the new patient paperwork through our online form (scroll down on this page and make sure you click to sign when finished). Please use a desktop, laptop or tablet to complete.
  2. You can click on the button for the printable PDF to print out the paperwork. You can scan and send to BNHSnewpatients@gmail.com.

Please fill this paperwork out completely. Do not leave any section blank. This paperwork is part of your exam. If the paperwork is not completely filled out when you come in at the time of your appointment you will have to reschedule.

Please be on time for your scheduled appointment.

Thank you for your understanding and cooperation.

 

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