We are committed to continuously improving access to our goods and services by individuals with disabilities. This website is currently being updated to enhance the usability and experience for persons with disabilities. If you are unable to use any aspect of this website because of a disability, please call 781.246.2211 and we will provide you with prompt personalized assistance.

Patient Forms

Patient Resources

Patient Forms

We know your time is valuable. For your convenience, we have provided printable versions of our patient registration, medical history, and other useful forms below. Simply click on the buttons below to download and print the forms. To save you time at your first visit with us, we invite you to fill them out and bring them with you to your appointment.

To learn more about Lynnfield Dental Associates or to make an appointment, feel free to contact our office.

Our Office

Lynnfield Dental Associates is conveniently
located off I-95 in Lynnfield, MA.
Call us to make an appointment for a free consultation!

Request an Appointment
To book an appointment, please feel free to call us
at 781.246.2211 or complete the form below.

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Terms and Conditions

Here at Lynnfield Dental Associates, we work diligently to protect our patient's rights and privacy. Requesting an appointment via our Internet portal is considered part of what HIPAA has identified as electronically protected information (ePHI). Unfortunately, despite the best efforts we make or take, there are people or entities that may attempt to intercept the data you transmit to us. By checking the box, and electronically making an appointment, you understand that you are making an appointment over the internet and that Lynnfield Dental Associates will keep this information confidential but cannot guarantee that others, outside of our practice, may not illegally intercept this communication. As a result of continuing, you are sending this transmission and accepting the inherent risk(s) associated with making this request for an appointment. As an alternative, you are always welcome to contact our office via telephone to schedule your appointment.

Disclaimer

The information presented here is not intended or implied to be medical advice, diagnosis, or treatment. It should be used for informational purposes only.