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YES NO Examples yearly injection acid acid 12. Dental Hygiene Medical History Confirmation of Blood Pressure and Radiographs Date Taken BP Time Taken CFE number Candidate ID Unit Radiographs Diagnostic Quality Radiographs NOT Diagnostic Quality Patient s name Birthdate // INSTRUCTIONS TO THE PATIENT Answer the following questions as completely and accurately as possible. All information is CONFIDENTIAL. Please circle yes or no to all questions and write in your answers as appropriate....
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How to fill out dental hygiene medical history

01
Start by gathering all necessary information such as personal details, contact information, and insurance information.
02
Ask the patient about any current medical conditions or medications they are taking.
03
Include a section for the patient to list any allergies or previous adverse reactions to medications.
04
Inquire about the patient's dental history, including any previous treatments or surgeries they have undergone.
05
Include a space for the patient to provide information about their oral hygiene routine and any dental concerns they may have.
06
Make sure to ask about any known risk factors for dental diseases, such as smoking or excessive alcohol consumption.
07
Include a section where the patient can disclose any other relevant medical history, such as chronic illnesses or surgeries unrelated to dental care.
08
Ensure that the form provides a clear space for the patient to sign, indicating that the information provided is accurate and complete.

Who needs dental hygiene medical history?

01
Anyone visiting a dental hygienist for the first time needs to fill out a dental hygiene medical history form.
02
Existing patients may also need to provide updated information if there have been any changes in their medical or dental status.
03
It is essential for patients who have recently undergone any surgeries or have known medical conditions to fill out a dental hygiene medical history form.
04
Patients who are taking medications or have allergies to certain substances should also provide this information.
05
Dental hygiene medical history forms help dental hygienists assess the patient's overall health and tailor the treatment accordingly.
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Dental hygiene medical history is a record of a patient's past and current health conditions and medications that may affect their dental treatment.
All new patients visiting a dental hygienist are required to fill out a dental hygiene medical history form.
Patients can fill out the dental hygiene medical history form by providing accurate and detailed information about their medical conditions, medications, and allergies.
The purpose of dental hygiene medical history is to ensure the dental hygienist is aware of any health issues or medications that could impact the patient's dental treatment.
Patients must report any pre-existing medical conditions, current medications, allergies, and previous experiences with dental treatment.
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