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American Association of Orthodontists For the Following questions mark Yes No or Don t Know / Understand DK/U. Questionnaire AAO - Medical Dental History Form Adult Medical Dental History Form For Patients 18 years of Age or Older. N. Patient s Home Phone Number Patient s Cell Phone Number Patient s Pager Number Patient s Email Address Patient s Street Address City State Zip Code Years at Above Address If less than 5 years at current address previous address Years at previous address Patient...
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