B. Saib, DDS
400 Market St, Suite 220
Chapel Hill, NC 27516
(919) 933-3388 Phone
(919) 933-3008 Fax
If you are ready to explore the possibility of Oral Airway therapy, we need to learn about you. Also, because, Sleep Apnea is a
medical Condition, not dental, we need to get your doctor's information and your insurance information. This will help us to start
the process for you. The best place to send your information is right here and right now. It will take about 10 minutes. The good
news is that if you complete the forms here you won't have to fill this information again. Please make sure that the information is
as accurate and as complete as possible. If you can't find all of the information, just place what you can. We can work from there.
For your safety, we use the highest level of SSL security available on the web to make sure the information you send is
encrypted and what you send goes to no one other than Dr. Saib at Dental Sleep Medicine Associates of North Carolina.
If you are unable to see the form below CLICK HERE