6800 Palm Avenue  .  Sebastopol  .  California 95472       
                    Charlene R. Chan, DDS, Inc
                     Orthodontics & Dentofacial Orthopedics
                     707.823.1200






    Download and print the patient forms. Complete and bring the form
    with you to your complimentary examination visit with Dr. Chan!

    Downloadable Forms
Adult History Form
Child Exam Form
<18 years of age

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