Dr. Cindi Croft
Restorative Medicine
603-275-9585
Forms
Welcome!
Every new patient please complete via the links below :
1. Payment & Privacy Information form
2. Adult Health Survey if 18 y/o or older. Pediatric form if under 18 y/o.
3. Either the Women's or Men's Health Survey.
Once these are received we will create an e-chart and be able to schedule you.
Thank you and we look forward to working with you.
Arabelle & Karol