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(781) 566-0385 26 Puritan Road, Swampscott, MA 01907

Become a Patient

Financial Information

Dr. Smith

We accept Mastercard, Visa, American Express and Discover credit cards as well as cash and personal checks. We accept many insurance plans, including Delta Dental, Blue Cross/Blue Shield, Cigna, Altus, and MetLife. To find out if we accept your plan, please call our office.

Patient Forms

Below is our New Patient Package that you will need to complete on your first visit. You can expedite matters by downloading the package, completing it at home and handing it to our staff when you arrive for your initial visit to our office.

HIPAA Privacy 1

PDF DOC

HIPAA Privacy 2

PDF DOC

Insurance Information

PDF DOC

Patient Form

PDF DOC

Registration Form

PDF DOC

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

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