New Patient Forms

To ensure your first visit to our Kendall clinical suite is as seamless as possible, please complete your digital patient intake forms below. Providing your medical history and HIPAA documentation in advance allows Dr. Martinez to focus entirely on your personal clinical evaluation. If you require assistance, our team is available to help at (305) 552-0402.

Informed Consent - English

Informed Consent - Spanish

Child Medical History Form - English

Child Medical History Form - Spanish

Adult Medical History Form - English

Adult Medical History Form - Spanish

Clear Correct Informed Consent - English

Clear Correct Informed Consent - Spanish

HIPAA Privacy Notice - English

HIPAA Privacy Notice - Spanish

Getting an appointment is fast and easy!