Dr. Wehle in San Jose, CA

CURRENT PATIENTS: 408-978-0911

Dental Patient Forms
and Instructions

We’ll need the information on the forms below prior to getting started. Please download that form, complete it and bring it to your first visit. If you are not able to complete it prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

Notices of Privacy Practices

(PDF)
Click To Download ›

Financial Policy

(PDF)
Click To Download ›

New Patient Medical History Form

(PDF)
Click To Download ›

Patient Consent From

(PDF)
Click To Download ›

Your New Smile Starts with a Phone Call

CALL IMPLANT HOTLINE

000-000-0000
Schedule Your Free Consultation ›
Current Patients Call: 408-978-0911

Office Hours

Mon-Wed: 8:00AM-3:00PM
Thu: 8:00AM-5:00PM
Fri-Sun: Closed
© 2020. Willow Glen Dental Care. All rights reserved.
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