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TIME 12:48 PM DATE 10/14/2013 RICHARD P. HARRISON, D.M.D., P.C. MEDICAL HISTORY PATIENT NAME Birth Date Although dental personnel primarily treat the area in and around your mouth, your mouth is a
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Start by obtaining the medical history form from harrisondentalassociates.com.
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Read the instructions carefully before filling out the form.
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Provide accurate personal information such as name, date of birth, and contact details.
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Indicate any pre-existing medical conditions you have, including allergies or medications you are currently taking.
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Include details about past surgeries or procedures relevant to your dental health.
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Mention any chronic illnesses or diseases that may affect dental treatment.
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Provide a comprehensive list of all current medications, including dosages and frequency of use.
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Answer questions about your dental health, such as previous dental treatments or any ongoing issues.
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If you have dental insurance, include the relevant information on the form.
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Review the completed form for any errors or missing information before submitting it to harrisondentalassociates.com.

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Medical history on harrisondentalassociatescom refers to a record of a patient's past and current health conditions, medications, surgeries, and other relevant medical information.
All patients visiting harrisondentalassociatescom are required to fill out their medical history forms.
Patients can fill out their medical history forms online on the harrisondentalassociatescom website or in person at the clinic.
The purpose of the medical history on harrisondentalassociatescom is to provide the dental team with essential information to ensure safe and effective treatment.
Patients must report details about their medical conditions, medications, allergies, surgeries, and any other relevant health information.
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