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SIC Dental Hygiene Clinic Health History Southern Illinois University Carbondale DATE All information disclosed on this form is strictly confidential. The information is requested to better provide
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01
To fill out the SIUC Dental Hygiene Clinic, follow these steps:
02
Visit the SIUC Dental Hygiene Clinic located at [clinic address].
03
Obtain a patient registration form from the clinic reception.
04
Fill in your personal details on the patient registration form, including your name, contact information, and insurance details (if applicable).
05
Answer any additional questions on the form regarding your dental history, medical conditions, and allergies.
06
Submit the completed patient registration form to the clinic reception.
07
Wait for an appointment confirmation from the clinic staff.
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Attend your scheduled appointment at the SIUC Dental Hygiene Clinic.
09
Follow any additional instructions provided by the dental hygienists during your visit.
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Upon completion of your treatment, settle any dues or fees at the clinic reception.
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Keep a copy of your dental records and follow-up appointments, if necessary.
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Note: It is advisable to arrive a few minutes early to your appointment and bring any necessary identification or insurance cards.

Who needs siuc dental hygiene clinic?

01
The SIUC Dental Hygiene Clinic is beneficial for the following individuals:
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- Individuals in need of routine dental cleanings and preventive care
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- Those seeking affordable dental services
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- Patients who do not have dental insurance
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- Individuals interested in supporting dental hygiene education
06
- Residents of the SIUC community and its surrounding areas
07
- Students and staff of SIUC who prefer convenient dental care on-campus
08
- Individuals looking for a comfortable and professional dental environment.
09
The clinic welcomes patients of all ages and dental backgrounds, providing comprehensive dental hygiene services.
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SIUC Dental Hygiene Clinic is a clinic that provides dental hygiene services to patients under the supervision of licensed dental hygienists and dentists.
The faculty and staff at SIUC who work at the Dental Hygiene Clinic are required to file reports related to the clinic.
To fill out SIUC Dental Hygiene Clinic reports, faculty and staff must accurately document patient appointments, treatments, and other relevant information.
The purpose of SIUC Dental Hygiene Clinic is to provide students with hands-on experience in dental hygiene practices while also offering affordable care to the community.
Information such as patient demographics, treatment plans, services provided, and any follow-up appointments must be reported on SIUC Dental Hygiene Clinic forms.
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