girl with braces anthony marino dds magic braces fairfield ca vacaville ca

Patient Forms

At the office of Drs. Anthony Marino & Lawrence Roth DDS, MS in Vacaville & Fairfield, CA, we try to make your appointments as easy and convenient as possible. Our goal is to make sure that patients of all ages have a positive experience in our office and receive the customized treatment they need to achieve the smiles they deserve! Here, you will always be treated like a part of our family.

Orthodontic care with your best interests in mind!

Below you will find our new patient forms. Feel free to print and complete the forms before your first visit with us. While we do not require that you complete this paperwork prior to visiting our practice, this will save you and our staff time when you come in for your appointment.


Welcome Information / Medical Dental History


Welcome Information / Medical Dental History
Sleep Disorder Breathing Questionnaire (English)
Sleep Disorder Breathing Questionnaire (Spanish)

Call Us Today!

Are you ready to start working on creating a more beautiful, confident, functional smile? Call or text our Vacaville office at 707-448-6271 or our Fairfield office at 707-426-5944 for a complimentary orthodontic consultation!