Patient Forms


New Patients


If you are a new patient to our office, we are pleased to offer you two options 

1). Please arrive 15 minutes early to your appointment, so that you can fill out your Patient Forms in our waiting room.




2). Please click the appropriate new patient form link and fill it out prior to your appointment.  


Adult New Patient Forms

Child New Patient Forms

Dental Materials Fact Sheet




Make an Appointment

10102 San Pablo Ave

El Cerrito, CA 94530

Tel: 510-559-9000

Fax: 510-559-9200

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© 2020 by Ian Iwane DDS

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