Patient Information

Patient InformationThe staff at Rolando Cibischino D.M.D is committed to providing excellent dental care in a comfortable environment where patients can relax and feel at ease.  Here you will find information on what to expect during your first appointment along with links to patient forms and paperwork.
Contact UsWe are happy to hear from you, answer your questions and schedule an appointment.  Call Rolando Cibischino D.M.D at 201-204-1355 or stop by our office.
71 Summit Avenue
Hackensack, NJ 07601
Request An Appointment

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Select an Option

New Patients

It is easy to make an appointment for your initial examination and dental treatments. Call 201-204-1355 to speak with a staff member and you can download the New Patient Form by clicking to the right.

CareCredit Financing

In-House option:

Sometimes dental care needs can creep up on you unexpectedly. Even if you carry dental insurance, you might be caught surprised by a dental emergency, abscessed tooth or something else that requires an out of pocket expense. That’s why our Hackensack, NJ dental office offers in-house financing fulfilled through CareCredit which includes:

Short-term financing

3 Months at 0% interest

No restrictions on care

CareCredit option:

CareCredit provides our patients with an easy and flexible way to afford all of their dental care, regardless of whether it’s cosmetic treatment, orthodontics, or restorative dentistry. Any of our services can be made more affordable thanks to our partnership with CareCredit which includes:

Low monthly payments

0% interest for up to 24 months

No treatment restrictions

Fast approval and access to funds

Apply online, or in our office. Dr. C’s patient coordinator will be happy to discuss the application process with you and answer any questions that you might have.

Payment Methods – Check or Cash Accepted

One-Time Transaction:

Add your card information to our systems for future transactions in office ONLY:

Set up your own Recurring Transaction:

Patient Forms:

Help us to serve you better! By filling out our new patient paperwork ahead of time, you can save time at your first appointment and help us to provide you the quality of healthcare that you deserve. Simply print out the documents and fill them out at home! Please bring them with you at the time of your appointment, or drop them off beforehand the next time you are in our area.

Patient Registration & Medical History

HIPAA Form

Smile Evaluation

Welcome to
Rolando Cibischino D.M.D
Making an Appointment
It is easy to make an appointment for your initial examination and dental treatments with Dr. Cibischino Simply call 201-204-1355 and one of our friendly team members will be happy to assist you.  If you schedule an appointment and something comes up, please call and cancel 24 hours in advance so that we can accommodate other patient requests.
What to Expect
Walk into our lobby where you will be greeted by our friendly team.  We will provide you with new patient paperwork that includes a health questionnaire, request for your insurance information and contact information.   We will also provide you with information to familiarize you with our office and how we handle things like patient privacy.  At Rolando Cibischino D.M.D we will perform complete head and neck exams along with full teeth cleaning and discuss your overall health.
Initial Examination
Your initial dental exam will take around one hour.  The expert team and Dr. Cibischino will ask you questions, get to know your oral hygiene routine, and listen to your health concerns.  We believe in educating patients and empowering them to make good choices to improve their oral health.  We will demonstrate how to properly care for your teeth and make additional suggestions as needed. Our dental hygienist will clean your teeth then Rolando Cibischino D.M.D will complete your examination and make recommendations for proposed dental treatments.
Pain Concerns
We work to ensure our patients feel comfortable, and that includes minimizing their pain as much as possible.  If you are undergoing a dental procedure, Rolando Cibischino D.M.D will meet with you to discuss your pain tolerance and create a plan for pain management.  Working together, we will treat your dental health problems in a way that minimizes pain and enables you to get back to your life faster.
Dental Insurance
We accept a variety of insurance providers and endeavor to accommodate our patients' request.  Please call our office at 201-204-1355 to see if we are currently working with your insurance provider.
Our pricing structure is designed to ensure that patients are able to receive the high quality dental care they deserve.  If your dental insurance will not cover all of your dental treatments, we will work with you to identify a payment solution.  We are health care professionals first and will work with you to make sure you receive the treatment you need.
Financial Policy
Rolando Cibischino D.M.D provides high quality dental care to families throughout the Hackensack area.  We understand that every dental patient has different financial needs.  We will work with you to find a solution that enables you to get the dental care you need, with or without insurance.  Call our office to ask about our different payment options that may include cash, check, financing, and credit cards.  We provide budget friendly dental care so call today and learn how Rolando Cibischino D.M.D is the solution to all of your oral health needs.

Contact Us

New Patients

CareCredit Financing

CareCredit option:

Payment Methods – Check or Cash Accepted

Patient Forms:

Welcome toRolando Cibischino D.M.D

Making an Appointment

What to Expect

Initial Examination

Pain Concerns

Dental Insurance

Financial Policy

Welcome to
Rolando Cibischino D.M.D