patient forms  Roseville, CA
At H. Lee Martinez D.D.S, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

New Patient Information Form – Download & Print Form | Fill Out & Submit Online

Patient Responsibility Acknowledgement Form – Download & Print Form | Fill Out & Submit Online

Consent for Use & Disc. of Health Information Form – Download & Print Form | Fill Out & Submit Online

Dental Materials Fact Sheet Acknowledgement Form – Download & Print Form

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