Important: COVID-19 Updates and New Office Protocols

Dr. Daniel Martisius

Dr. Daniel Martisius

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New Patient Forms

Patients / New Patient Forms

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What's New

New Patient Forms

New Patient Forms

Adult Patient Information & Health History Form

Child Patient Information & Health History Form

Authorization for Release of Information

Notice of Privacy Practices

Acknowledge of Receipt & Notice of Privacy Practices

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Louisiana Orthodontics Specialists

5000 Forsythe Bypass, Suite 116

Monroe, LA 71201

(318) 388-2220