Patient Forms

Phelps and Cohen Orthodontics

San Jose & Los Gatos, CA


Patient Forms

Please take a minute to print and fill out our new patient information forms prior to your first appointment:

  • New Patient Information Forms [PDF]
  • Insurance Verification & Authorization Form [PDF]

You can email your completed forms to us at [email protected], fax them to us at (408) 298-6304, or simply bring them with you to your initial consultation.

If you're unable to open PDF files, you can get Adobe Reader® for free.

For your convenience here is our Notice of Privacy Practices PDF | DOC

Working Hours

MONDAY : 9:00 am - 12:00 pm, 2:00 pm - 6:00 pm

TUESDAY - WEDNESDAY : 8:30 am - 12:00 pm, 1:30 pm - 5:30 pm

THURSDAY : 8:30 am - 12:00 pm, 1 pm - 5:00 pm

*1st Friday of each month: 9:00 am – 12:00 pm

*3rd Friday of each month: 9:00 am – 12:00 pm, 1 pm – 4:00 pm

*2nd Saturday of each month: 8:00 am – 1:00 pm

*These dates are subject to change due to holidays and doctor availability.


Contact Details

Phelps & Cohen Orthodontics

Main Office (San Jose - Rosegarden area) 2075 Forest Avenue, Suite 2, San Jose, CA 95128

408-298-3433 | 408-298-6304 | [email protected]

For Emergencies (After Call Hours) : 408-500-1027

Working Hours

*1st Friday of each month: 2:00 pm - 5:00 pm

*These dates are subject to change due to holidays and doctor availability.


Contact Details

Phelps & Cohen Orthodontics

Satellite Office (San Jose - Evergreen area) 3151 S. White Road, Suite 104, San Jose, CA 95148

408-298-3433 | 408-298-6304 | [email protected]

For Emergencies (After Call Hours) : 408-500-1027

Working Hours

WEDNESDAY: 9:00 am - 6:00 pm

LUNCH: 12:00 pm - 1:30 pm


Contact Details

Phelps & Cohen Orthodontics

Satellite Office (Los Gatos) 15827 Los Gatos Blvd, Suite B, Los Gatos, CA 95032

408-298-3433 | 408-298-6304 | [email protected]

For Emergencies (After Call Hours) : 408-500-1027