Patient Form Downloads

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Patient Form Downloads

For your convenience, all new patient paperwork can be accessed online. Simply download each form below, complete the forms at home, and bring the forms with you to your first appointment. If you should have any difficulty downloading these forms, please call our office and a knowledgeable staff member will be happy to assist you.

Health History Form

Financial Policy

Consent for Treatment Form
Notice of Privacy Practices Form
 

Post Operative Instructions

  No Forms at This Time 
   
   
   
   

Have Additional Questions? Call Now! (669) 231-5595  |  Ready to Schedule Your Appointment? Click Here!

Contact Us

Willow Glen Dental Care
Danielle Wehle, DDS
1600 Willow St. Suite 203
San Jose, CA 95125
New Patients: (669) 231-5595
Current Patients: (408) 978-0911

 

About Us

We encourage you to contact us via phone or email. If you have any questions or comments, please feel free to get in touch. We're always happy to hear from you!

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Business Hours

Monday: 8:00am - 3:00pm
Tuesday: 8:00am - 5:00pm
Wednesday: 8:00am - 5:00pm
Thursday: 8:00am - 5:00pm
Friday: By Appointment Only

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