office hours
  Morning Afternoon
M9:30am - 12pm3pm - 6:30pm
T9:30am - 12pm3pm - 6:30pm
Wclosed3pm - 6:30pm
T9:30am - 12pm3pm - 6:30pm
F9:30am - 12pmclosed
Sclosed
Sclosed
Call Today:
(603) 964-1460
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Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home. The information you fill in will be sent directly to our office, speed up your office visit, and will help us to better serve your healthcare needs.



New Patient Form

Office Policy:

It is our policy to keep a copy of both your Insurance Card and a Credit Card on file, please bring these to your first visit. We ask that should you need to change your appointment, that you give us a call 24 hrs in advance. Thank you.




Please take a moment to completely fill out this form, and upon completion of all form categories click the [Submit] button at the bottom of this form.

Click Here to Complete our Online Intake Form


Pediatric Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Pediatric Health History  Download & Print Form



Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. Mark Arsenault & Associates | (603) 964-1460
29 Lafayette Rd # J, North Hampton, NH
100 Shattuck Way, Newington, NH