ADA Accessibility Information
Accessibility
A
A

A
Home › Patient Info › New Patient Forms

New Patient Forms Salem, OR
Patients seated in a dental clinic waiting room, filling out new patient forms on clipboards at Smith and Emerick Family Dental in Salem, OR The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at (971) 208-6023 and our staff will be happy to help you.

Patient Portal
Mobile app download
Appointment Request
Logo for Smith and Emerick Family Dental

Contact Information


876 Welcome Way SE
Salem, OR 97302-4092

Office Hours


Monday: 8:00am - 5:00pm
Tuesday: 7:00am - 5:00pm
Wednesday: 8:00am - 5:00pm
Thursday: 7:00am - 5:00pm
Friday: 8:00am - 5:00pm


(971) 208-6023
info@ksfamilydentist.com

Follow Us


Facebook social media icon Google social media icon Yelp social media icon
Copyright © 2025-2026 Smith and Emerick Family Dental and WEO Media - Dental Marketing (Touchpoint Communications LLC). All rights reserved.  Sitemap
New Patient Forms | Salem, OR Dentists
Download patient forms for Smith and Emerick Family Dental in Salem, OR. Complete forms online before your first visit to save time. Have questions? Call now!
Smith and Emerick Family Dental, 876 Welcome Way SE, Salem, OR 97302; (971) 208-6023; ksfamilydentist.com; 2/13/2026; Page Phrases: dentist Salem OR;