Menu
  • Home
  • About Us
    • Meet the Doctors
      • Dr. John Argeros
      • Dr. Donald Plourde
      • Dr. Matthew Epstein
      • Dr. Pauline Reilly
    • Meet the Team
    • Why Choose Us
    • Tour Our Office
    • FAQ
  • Our Services
    • General Dentistry
      • Gum Disease Treatment
    • Family Dentistry
    • Relieving Dental Anxiety
    • Cosmetic Dentistry
      • Dental Veneers
      • Teeth Whitening
      • Smile Makeover
    • Restorative Dentistry
      • Dental Crowns & Bridges
    • Full-Mouth Reconstruction
      • Dental Implants
      • Mini Implants
      • All-on-X
      • Dentures
      • Teeth Xpress
    • Oral Surgery
    • TMJ Treatment / Teeth Grinding
    • Sleep Apnea Treatment
  • Patient Testimonials
    • Smile Gallery
  • Patient Resources
    • New Patient Forms
    • Payment Options
    • I’m in Pain or Have Discomfort
    • I’m Having a Hard Time Chewing
    • I’m Embarrassed to Smile
  • COVID-19 Protocols
  • Blog
  • Search
  • Contact Us
MENU
Contact Us
WE ARE OPEN | Read our COVID-19 Protocols
Call Today978-278-1760 Request an Appointment
Call Today978-278-1760 Request an Appointment
113 Lowell Street, Peabody, MA 01960
  • Home
  • About Us
    • Meet the Doctors
      • Dr. John Argeros
      • Dr. Donald Plourde
      • Dr. Matthew Epstein
      • Dr. Pauline Reilly
    • Meet the Team
    • Why Choose Us
    • Tour Our Office
    • FAQ
  • Our Services
    • General Dentistry
      • Gum Disease Treatment
    • Family Dentistry
    • Relieving Dental Anxiety
    • Cosmetic Dentistry
      • Dental Veneers
      • Teeth Whitening
      • Smile Makeover
    • Restorative Dentistry
      • Dental Crowns & Bridges
    • Full-Mouth Reconstruction
      • Dental Implants
      • Mini Implants
      • All-on-X
      • Dentures
      • Teeth Xpress
    • Oral Surgery
    • TMJ Treatment / Teeth Grinding
    • Sleep Apnea Treatment
  • Patient Testimonials
    • Smile Gallery
  • Patient Resources
    • New Patient Forms
    • Payment Options
    • I’m in Pain or Have Discomfort
    • I’m Having a Hard Time Chewing
    • I’m Embarrassed to Smile
  • COVID-19 Protocols
  • Blog
  • Search
New Patient Forms
  • Fill out your forms conveniently at home
  • Spend more time with our staff
  • Extended hours make scheduling easy

Save Time On Paperwork & Enjoy A Smooth First Visit! 

978-278-1760
Request an Appointment

We can see you as soon as tomorrow!

Home > New Patient Forms

Fill Out Your Peabody Patient Forms Before Your First Visit

Below you will find the forms that we require all of our new patients to fill out before their first visit to our office. You can fill these out in person when you come for your appointment, or you can download them, fill them out, and bring them with you. Filling them out ahead of time will expedite the sign-in process and allow us to move ahead with your appointment as quickly as possible. To view the documents, you will need access to Adobe Reader.

Please contact us with any questions or concerns you may have by calling 978-278-1760. We’re open for early morning, evening, and Saturday hours.

New Patient Forms

  • New Patient Registration Form
  • Patient Medical History Form
  • Notice of Privacy Practices Acknowledgement
  • Notice of Privacy Practices – HIPAA Information

Patient seeing Dr. Argeros for Consultation

  • About Your Consult
  • Consultation Application
  • Consent Letter

General Dental Information

  • Which Doctor Will I See
  • What to Expect Following RC Therapy
  • Tooth Whitening Handout
  • Tooth Colored Restorations
  • Temporary Crowns or Bridges
  • Subepithelial Connective Tissue Graft
  • Post Dental Procedures Instructions
  • Porcelain Veneers
  • Cracked Tooth Syndrome

General Information Forms For Patients Interested in Dental Implants

  • Post Operative Instructions for Sinus Graft
  • Guidelines for Intravenous Sedation
  • Post Implant Instructions
  • Treatment Options for Implant Restorations
  • Platelet Rich Plasma
Read Our Patient Testimonials
Rate Us
Call Today to Make an Appointment 978-278-1760 Request an Appointment
113 Lowell Street, Peabody, MA 01960
  • Mon: 7:30AM - 6:00PM
  • Tue: 7:30AM - 6:00PM
  • Wed: 1:00PM - 8:00PM
  • Thu: 7:30AM - 6:00PM
  • Fri: 7:30AM - 4:00PM
  • Sat: 8:00AM - 2:00PM
  • Sun: Closed
Call Today to make an Appointment 978-278-1760 Request an Appointment
Certified HIPAA Compliance Provided by PCIHIPAA

Location

113 Lowell Street, Peabody, MA 01960
View Larger Map

Office Hours

  • Monday 7:30AM - 6:00PM
  • Tuesday 7:30AM - 6:00PM
  • Wednesday 1:00PM - 8:00PM
  • Thursday 7:30AM - 6:00PM
  • Friday 7:30AM - 4:00PM
  • Saturday 8:00AM - 2:00PM
  • Sunday Closed

Latest Blog Articles

Using Your Teeth as Tools Could Damage Your Smile

You might be surprised to learn that Thomas Edison had a habit of biting on his piano to hear the music better through ...

Read More
Teach Your Child the Proper Way to Brush

If you've ever tried to get your little one to brush their teeth, you're well aware of the challenge that can be. ...

Read More
Call Today to make an Appointment 978-278-1760 Request an Appointment
Certified HIPAA Compliance Provided by PCIHIPAA

Location

113 Lowell Street, Peabody, MA 01960
View Larger Map

Office Hours

  • Monday 7:30AM - 6:00PM
  • Tuesday 7:30AM - 6:00PM
  • Wednesday 1:00PM - 8:00PM
  • Thursday 7:30AM - 6:00PM
  • Friday 7:30AM - 4:00PM
  • Saturday 8:00AM - 2:00PM
  • Sunday Closed

Latest Blog Articles

Using Your Teeth as Tools Could Damage Your Smile

You might be surprised to learn that Thomas Edison had a habit of biting on his piano to hear the music better through ...

Read More
Teach Your Child the Proper Way to Brush

If you've ever tried to get your little one to brush their teeth, you're well aware of the challenge that can be. ...

Read More
  • Home
  • About Us
  • Patient Testimonials
  • Blog
  • Contact Us

© 2023 Contemporary Dentistry & Implantology | All Rights Reserved |Privacy & ADA Accessibility Guide|Sitemap

*Results May Vary By Individuals

Dear Patients:

We are so very excited to announce that we are once again able to provide dental services for you, our valuable patients. Contemporary Dentistry & Implantology will reopen on May 18, 2020.

While things are certainly not “business as usual,” we wanted to let you know we are here for you in our clean, comfortable, and safe environment. Our standards are well “above and beyond” what the American Dental Association and Centers for Disease Control recommend. We love what we do and the people we do it for. We are always here for you.

This high level of service is just one of the many ways that we are supporting our community, and it is included in the excellent work that we do…we go through a comprehensive disinfection after every patient is cared for.

Dr. John Argeros, Dr. Donald Plourde and all team members here at Contemporary Dentistry & Implantology will continue to go above and beyond for our patients…it is second nature. For this and many other reasons, many of our patients have trusted their care with us for years.

We very much look forward to seeing you, your family, and your friends very soon.

Sincerely,
Dr. John Argeros, Dr. Donald Plourde
Contemporary Dentistry & Implantology