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Patient Forms

You may access the following forms to assist us with your care. Please print and fill out the appropriate form, then bring it to your appointment.


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ILAS Dental Care

  • San Jose Office - 1206 N. Capitol Ave., Suite 101, San Jose, CA 95132 Phone: (408) 928-1450
  • Concord Office - 2030 Diamond Blvd., Suite 25, Concord, CA 94520 Phone: (925) 687-8000

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