Patient Information


Patient Forms

If you are a new patient to our office, please visit our patient forms page to download our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please contact our office if you have any questions at all.

Payment Options

For your convenience, we accept cash, personal checks, and most major credit cards. Payment is expected at the time services are performed. Feel free to contact our office If your treatment plan requires more comprehensive dental work and you want to discuss financial arrangements.

mastercard visa discover american express

 

Cancellation Policy
 
Due to our high volume of patient care, we are able to serve all our patients better if our office receives two (2) FULL business day’s notice to cancel an appointment. If you do not keep your appointment we cannot see other patients who need care. In order to encourage our patients to provide us with enough notice, a charge will be made for broken appointments when less than the necessary two (2) business days' notice is given. We realize, of course, that emergencies do happen, and our office will make exceptions when deemed appropriate.
 
 
Financial Policy
 
As a condition of your treatment by this office, financial arrangements must be made in advance.  The practice depends upon reimbursement from patients for the costs incurred in their care.  Financial responsibility on the part of each patient must be determined before treatment.
 
 
Insurance Companies
 
We accept all PPO dental insurance plans, and as a courtesy to our patients, we will complete and submit all insurance claims on their behalf, however we are not in-network with any insurance carriers. If you have any questions please feel free to call our office.




Where to Find Us

Call: (650) 326-1400

850 Middlefield Road, Suite 1
Palo Alto, California 94301

Email: info@paloaltoperio.com

850 Middlefield Road, Suite 1|
Palo Alto, California 94301

©2026 Nikta Ghaderi, DDS, MS|Site Map