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A smiling patient in the dental chair

Essex Street Dental Medicine

New Patient Forms

Completing your paperwork ahead of your first appointment saves time in the office and helps our team prepare for your visit.

Getting Ready Is Easy

We ask new patients to complete their intake forms before arriving. There are two simple ways to do it: fill everything out online through our secure patient portal, which is the fastest option with nothing to print, or download and print the forms to complete at home and bring with you.

Either way works beautifully. If you have any questions along the way, our team is always happy to help. Just give us a call at (978) 744-7904.

Download Your Forms

Download, print, and complete these forms at home, then bring them to your appointment to save time at check-in.

Download & Print

Download, print, and complete this form at home, then bring it to your appointment.

What to Bring

A few things to have with you so your first visit goes smoothly.

Photo ID

A valid drivers license or other photo identification.

Insurance Card

Your dental insurance card, if you have coverage.

Medication List

A list of any medications or supplements you currently take.

Completed Forms

Any intake forms you filled out or printed ahead of time.

Essex Street Dental Medicine sign in Salem, MA

We'll Take Care of the Rest

Once your forms are complete, you are all set. Book your first visit and our team will handle everything from there.