West Roseville Family Dental
Jonathan K. Chan DDS
935 Roseville Parkway, #120
Roseville, CA  95678
916-771-8828
 
                                             
Jonathan Chan DDS   916-771-8828    wrfd@surewest.net

Forms Instructions Education

Misc. Instructions:

Teeth Whitening Instructions
Post op care after an extraction


Video Instructions (quicktime player may be required)
How to Floss
How to Use a Manual Toothbrush

Misc. Forms:

Patient Registration Form
- Please print out and complete. 
Medical History Form
 - Please print out, complete, and sign.  It will help speed up the registration process.  Thanks.
Kindergarten Dental Screening Form
Dental Materials and Fact Sheets (from the Dental Board of CA - 2004)





West Roseville Family Dental
Jonathan Chan DDS
935 Roseville Parkway, #120
Roseville, CA  95678



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