Patient Forms

Visit A Dentist Who Values Your Time

Complete your patient forms ahead of time
Reduce hassle at your first appointment
Spend more time with your dental team

Call Today503-647-4645
Schedule Online

160 Ramsgate Square S, Ste 150, Salem, OR 97302

Home > Patient Forms

Fill Out Your Salem Patient Forms Conveniently at Home

We know filling out paperwork can be a hassle, but even more so when you are eager to meet with your new dentist. At Bickler Dentistry, we encourage you to fill out your Salem patient forms ahead of time. That way, when you arrive, you’ll have one less thing to worry about.

Feel free to give our friendly staff a call at 503-647-4645 if you have any questions about your paperwork. We can also address any concerns you may have about payment options, insurance, or anything else. You can also make an appointment online if it’s more convenient.

Patient Registration
Health History
Privacy Practices Acknowledgment and Health Information Consent
Payment and Dental Insurance Policies

“

Dr Bickler and his staff are all very nice and the work I’ve had done so far has been excellent!👍👍

− J. F. (Verified Patient)

“

Continually exceeds my expectations in all categories😊 Great team, keep up the wonderful work!

− D. W. (Verified Patient)

“

Bickler Dentistry’s amazing staff have always made my experience so pleasant and easy. I enjoy seeing my dental hygienist and dentist and always leave feeling well taken care of. I… Read More

− B. A. (Verified Patient)

“

The best Dentist in Salem! His staff is friendly, courteous and professional! I called an Endodontist in Salem and they referred me to Dr. Bickler. I was getting ready for… Read More

− C. M. (Verified Patient)

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− Verified Patient

“

My visit to Bickler dentistry was great. I moved back to Salem recently so I was relieved to find a dentist that was so good on my first try. The… Read More

− S. M. (Verified Patient)

“

Excellent! Thanks 😊

− D. K. (Verified Patient)

“

Very nice experence. Doctor was so helpful and honest. Staff very friendly.

− K. J. (Verified Patient)

“

Great staff and professional

− L. E. (Verified Patient)

“

👍 Every one is so nice.

− A. H. (Verified Patient)

“

I have come to this dental office for many years, and it was great to meet Dr. Bickler who is taking over the practice. I had a routine cleaning and… Read More

− E. M. (Verified Patient)

“

The staff are all excellent! Very good at what they do,, and are very kind. Excellent experience!

− M. P. (Verified Patient)

“

My Dental Hygienist, Briana, was very considerate to my needs while cleaning my teeth. I have sensitive teeth but Bri took extra care to be sure I was doing well… Read More

− L. P. (Verified Patient)

“

New, modern technology for xrays and cleanings. Dr. Bickler is very thorough, explaining issues in detail. He makes his own crowns! A top notch professional dental practice.

− D. M. (Verified Patient)

“

The staff is helpful and engaging. Dr Bickler is a terrific dentist that cares about his patients.

− S. K. (Verified Patient)

“

Another great day at Bickler Dentistry. Do exactly what what is needed, give you suggestions to improve better dental hygiene. Price & affordable for seniors!

− P. N. (Verified Patient)

“

Great dentist and hygienists

− W. D. (Verified Patient)

Rate Your Experience

Array

J. F. (Verified Patient)

Dr Bickler and his staff are all very nice and the work I’ve had done so far has been excellent!👍👍

Array

D. W. (Verified Patient)

Continually exceeds my expectations in all categories😊 Great team, keep up the wonderful work!

Array

B. A. (Verified Patient)

Bickler Dentistry’s amazing staff have always made my experience so pleasant and easy. I enjoy seeing my dental hygienist and dentist and always leave feeling well taken care of. I appreciate the communication prior and after appointments that makes it smooth and easy to ensure my care needs are met. Highly recommend this dental office if you are looking for a team to care for your dental needs.

Array

C. M. (Verified Patient)

The best Dentist in Salem! His staff is friendly, courteous and professional! I called an Endodontist in Salem and they referred me to Dr. Bickler. I was getting ready for medication that required my dental care to be in order. Dr. Bickler was expedient in getting this dental work completed. I have been going to him since my first appointment he is very thorough! I highly recommend Dr. Bickler!!!!

Array

Verified Patient

“The service at Bicker Dentistry is consistently outstanding! Every visit is professional, caring, and positive. Kelsey is kind-hearted and always brings a great attitude, making each appointment enjoyable. Dr. Corey Bickler is approachable and informative, ensuring a comfortable and insightful experience. I always leave feeling well cared for. Thank you!”

Array

S. M. (Verified Patient)

My visit to Bickler dentistry was great. I moved back to Salem recently so I was relieved to find a dentist that was so good on my first try. The atmosphere is really friendly, I didn’t have to wait at all and feel a lot of confidence in Dr. Bickler and his staff.

Array

D. K. (Verified Patient)

Excellent! Thanks 😊

Array

K. J. (Verified Patient)

Very nice experence. Doctor was so helpful and honest. Staff very friendly.

Array

L. E. (Verified Patient)

Great staff and professional

Array

A. H. (Verified Patient)

👍 Every one is so nice.

Array

E. M. (Verified Patient)

I have come to this dental office for many years, and it was great to meet Dr. Bickler who is taking over the practice. I had a routine cleaning and check up and was very pleased.

Array

M. P. (Verified Patient)

The staff are all excellent! Very good at what they do,, and are very kind. Excellent experience!

Array

L. P. (Verified Patient)

My Dental Hygienist, Briana, was very considerate to my needs while cleaning my teeth. I have sensitive teeth but Bri took extra care to be sure I was doing well throughout the process.

Array

D. M. (Verified Patient)

New, modern technology for xrays and cleanings. Dr. Bickler is very thorough, explaining issues in detail. He makes his own crowns! A top notch professional dental practice.

Array

S. K. (Verified Patient)

The staff is helpful and engaging. Dr Bickler is a terrific dentist that cares about his patients.

Array

P. N. (Verified Patient)

Another great day at Bickler Dentistry. Do exactly what what is needed, give you suggestions to improve better dental hygiene. Price & affordable for seniors!

Array

W. D. (Verified Patient)

Great dentist and hygienists

Visit Bickler Dentistry

We can see you as soon as tomorrow!

Call Today503-647-4645
160 Ramsgate Square S, Ste 150, Salem, OR 97302
Schedule Online