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Welcome to San Martn Orthodontics. Please fill out this form as best as you can. Would you be comfortable with a Therapy Dog in the office at your appointment? ___ YesABOUT YOUINSURANCEName: ___ Mr.
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Visit the Martin Orthodontics website or office to obtain the necessary forms.
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Read the instructions provided with each form carefully.
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Fill out personal information including name, address, and contact details.
04
Provide dental insurance information, if applicable.
05
Complete the medical history section honestly and thoroughly.
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Sign and date the forms where indicated.
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Review all entries for accuracy before submission.
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Submit the completed forms in person or via the preferred method indicated by the office.

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Patients seeking orthodontic treatment at Martin Orthodontics.
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Parents or guardians of minor patients needing to fill out forms.
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New patients who need to establish their records.
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Current patients requiring updates to their medical or insurance information.
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Forms for Martin Orthodontics refer to the necessary documents that patients must complete to initiate and manage their orthodontic treatment.
All new patients seeking orthodontic treatment at Martin Orthodontics are required to complete the necessary forms.
Patients can fill out the forms by visiting the Martin Orthodontics website or by completing them in-person during their first appointment.
The purpose of the forms is to gather essential information about the patient’s dental history, medical conditions, and to obtain consent for treatment.
Patients must report personal information, dental and medical history, current medications, and insurance details on the forms.
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