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Patient Portal


Patient Forms

Patient Questionnaire (Online Form)

*If you do not have an appointment date yet, enter today's date

E-Services Patient Portal


Click here for access


Dentrix E-Services secure portal allows you to access your patient account.  You have access to:

  • Statements and Online Bill Pay
  • Appointments
  • Treatment Information



First time users will Register.  The office will receive a notification to validate your portal access.  This may take 1 business day. 

**Please note that the password you create is limited to nine (9) characters.  If you are having difficulty logging in after registering, please try only the first 9 characters of the password you created.  We are working on permissions for longer passwords.

Please call the office for any assistance:  408-578-7121.

Jaclyn Martinez, DDS
827 Blossom Hill Road, Suite E7
San Jose, CA 95123
Phone: 408-578-7121
Fax: (408) 578-7127
Office Hours

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