Patient Forms

Our patient forms are designed to ease the process of visiting the dentist by allowing you to fill out the majority of your patient information prior to your dental appointment in Peabody or Lynn, Massachusetts. Here, you will find forms for both adults and children. You are welcome to contact Zicherman, Lago, and Associates, PC for further information regarding our patient forms, or to schedule an appointment with our dentists. We look forward to hearing from you soon!

New Patient Form (Adult)

New Patient Form (Child)

Financial Options

When you visit the dentist, are you more concerned about your oral health or financing your appointment? At Zicherman, Lago, and Associates, PC, we do our best to simplify the financial process so that you can focus on your dental goals. We are proud to network with most major insurance providers, and we welcome any questions about insurance coverage. If you plan to pay out of pocket, please note that we accept the following forms of payment:

  • Cash
  • Check
  • Credit Cards

Please contact our office if you have any questions or concerns. Our team looks forward to working with you!

Special Offers

Check back soon to learn more about our special offers!

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