Patient Forms, Map and Directions to Middlefield Office
Your first visit to Saliba Dentistry involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment.
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms so we can expedite your first visit:
- Health History Form
- Financial Policy Form
- HIPAA form
- Acknowledgement of Receipt of Privacy Practices Notice
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. Please come to your first appointment approximately 20 minutes prior to your scheduled time so that you have adequate time to complete the required patient information forms. Also, when scheduling your appointment, please advise us if you would like us to work with your current dental insurance carrier to redeem benefits for dental care and provide any relevant information upon arrival for your first appointment so that we are able to obtain the necessary information for billing. We appreciate your cooperation and look forward to seeing you at your first appointment!
Office Location & Driving Directions:
Local Landmarks - Harrington Square Mall by Walmart in Middlefield Suite 7.