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Patient Forms

Great Bay Mental Health

Patient Forms

Thank you for choosing Wentworth Health Partners Great Bay Mental Health. We look forward to partnering with you to help you achieve your best health. 

Please take a moment to complete any of the forms that are requested below. You can mail or fax us these forms or bring them with you to your first appointment. 

Great Bay Mental Health

15 Old Rollinsford Road, Suite 302
Dover, New Hampshire 03820

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Monday - Friday: 8:00 a.m. - 4:30 p.m. 


Office: (603) 742-9200

Fax: (603) 742-4605

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