2605 12th Place SE Salem, OR 97302

First Visit

YOUR INITIAL VISIT

Please assist us at the time of your initial visit to the office by providing the following information:

  • Your referral slip from your referring dentist, if you were provided one.
  • A list of medications you are currently taking. (Please note you can fill out your patient registration, which includes medical history, on our website in advance of your appointment.)
  • If you have dental insurance, please bring your insurance cards with you to the appointment. We are happy to work with all insurance companies however we need important information listed on your card in order to properly submit claims.

Please Note: All patients under 18 must be accompanied by a parent or guardian at the consultation appointment.

Please notify the office if you have a medical condition or concern prior to surgery (e.g. artificial heart valves or joints, heart murmurs requiring pre-medication, severe diabetes, or hypertension).

We will complete an in-depth medical and dental health history and a thorough examination to measure for bone loss, loose teeth, bite, oral cancer screening, TMJ, and other signs of periodontal disease.

PATIENT REGISTRATION

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please be sure to press the Complete and Send button at the bottom of the form to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Click the button below to complete the form:

Please contact us at (503) 585-4281 or Info@SalemORPerio.com if you have any questions. We look forward to welcoming you to our practice!

Download one of our Patient Forms to help the Process!

SCHEDULING

We will schedule your appointment as promptly as possible. Please allow approximately 90 minutes for your initial visit. If you have pain or an emergency situation, every attempt will be made to see you that day.

Office Hours
Monday through Thursday:  8:00 AM – 5:00 PM

We try to stay on schedule to minimize waiting at the time of your appointment. Referral of emergency patients can cause delays to the schedule, and your understanding and patience are very much appreciated.

Contact Us Today

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. If you are an existing patient, this contact form should not be utilized for communicating private health information.

SCHEDULE YOUR CONSULTATION

The only way to receive an accurate price quote is to call us and come in for a consultation, and we can give you a specific price for your case. Please call us at Salem Periodontal Specialists, (503)-585-4281 to schedule your consultation.

Request an Appointment

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

If you are an existing patient, this contact form should not be utilized for communicating private health information.