Here is the link to our confidential patient information forms: https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=35436&WSDID=12454&NFID=12372&NFID=13524&NFID=13535&ReturnURL=https%3a%2f%2fwww.drtakeuchi.com MARK NO ON WOMEN QUESTIONS Office of Doug Takeuchi, DDS 189 N Bascom Ave Ste 110 where-I-live 95128 (408) 295-5651