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Patient Forms

Welcome Letter 

Privacy Policies

Facts About Fillings


If you are a new patient to our office, the forms below will need to be filled out before you arrive for your first appointment. Having the forms filled out in advance will allow us to attend to your dental needs more quickly than completing them upon your arrival.  Thank you for your time and please call our dental office if you have any questions or need any assistance. 

Patient Forms

120 Whitcomb Ave.|Colfax, CA 95713|Map & Directions

Call: 530-346-6244

Colfax, CA family dentist, Dr. Chad Jensen and Dr. Justin Diederichs offer a broad range of family dentistry services for both children and adults. Available treatments include dental cleanings, children’s x-rays, fluoride treatments, sealants, fillings, crowns, root canal treatments, extractions, and more. Contact us today for an appt.

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