To provide quality, efficient care, Dental Associates of Manchester is proud to provide you with our new patient forms online. If you are interested in streamlining your first appointment, please feel free to complete our new patient forms in advance.

Financial Policy
HIPPA

We also ask that you bring a list of all your medications to your appointment and provide us with your medical doctor, pharmacy, and emergency contact information. We invite you to contact Dental Associates of Manchester at 563-927-4746 if you have any questions or need assistance. Our friendly team is happy to help!

Online Forms Instructions

All members of your account will be displayed in the middle of the screen. To fill out the forms, click on the “Forms” button beside the appropriate family member. Fill out all information as completely as you can. PLEASE NOTE: Forms are uploaded within eight (8) hours after your appointment is made. If you make a mistake, or forgot to mention some information, you will have a chance to review it when you arrive for your appointment, as the forms will still require a signature.