Taoyuan, Zhongli, Taipei|Professional dental impla

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★You can download and print out, fill it out and submit the application at the clinic counter, or go to the clinic counter to get an application form on site.
If the patient is not applying in person, please remember to attach a consent form when submitting.
If you have any questions, please call (03) 4948311 extension 1 during clinic hours.
  • Application form for medical records

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  • Application form for diagnosis certificate

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  • Letter of Appointment and Consent

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