Martinez Orthodontics
Your smile... on point!

New Patient Forms

Prior to your first visit, you will need to fill out and sign a Medical History Form and a HIPAA Privacy Notice. Save time waiting in our office by filling out the necessary forms online. Feel free to give us a call if you have any questions.

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

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (305) 552-0402
View the ADA Accessibility Statement