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Patient Information Date: PatientName: Last, First MI (Preened Name) Address: # Apartment Zip Code Gender: # DriversLicense Birth Date: #: SocialSecurity Phone(Home): Cell phone: Date of Last Dental
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How to fill out date of last dental
How to Fill Out Date of Last Dental:
01
Begin by locating the section on the form that asks for the date of your last dental visit.
02
Carefully fill in the appropriate month, day, and year in the designated spaces.
03
Make sure to accurately recall the date of your most recent dental appointment. If you are unsure, consult your dental records or contact your dentist for assistance.
Who Needs Date of Last Dental:
01
Dental professionals: Dentists, hygienists, and dental assistants require the date of your last dental visit as it helps them track your oral health history and plan appropriate treatments.
02
Insurance companies: Many dental insurance plans require the submission of your last dental visit date to determine coverage and benefits.
03
Patients: Keeping track of your own dental history is important for maintaining good oral health and can help remind you when it is time for your next dental check-up.
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