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Stand Family Orthodontics Christine F. Stand, DDS, MSD Frederick N. Gibbs, DDS, ORTHODONTIC PATIENT HISTORY PATIENT INFORMATION Name:Date of Birth: / / Sex: M F (First)(Last)(Nickname)Address: (Street)(City)(State)(Zip)Home
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How to fill out orthodontic patient history
How to fill out orthodontic patient history
01
Gather the necessary forms and documents such as patient information sheet, medical history form, and dental insurance information.
02
Start by filling out the patient information sheet, which includes details like name, address, contact information, and emergency contact.
03
Move on to the medical history form and provide accurate information regarding any pre-existing medical conditions, allergies, medications, and past surgeries.
04
Fill in the dental insurance information, including the insurance company name, policy number, and any relevant coverage details.
05
If there are any specific orthodontic concerns or issues, mention them in the provided space or attach additional sheets if necessary.
06
Review the completed patient history form for accuracy and completeness before submitting it to the orthodontic office.
07
In case of any updates or changes to the patient's medical or dental information, ensure that it is promptly communicated to the orthodontic office.
Who needs orthodontic patient history?
01
Orthodontic patient history is required for any individual seeking orthodontic treatment.
02
This includes patients who are considering braces, aligners, or other orthodontic appliances to correct dental misalignments.
03
Orthodontists and dental professionals use the patient history to assess the patient's overall health, evaluate potential risks or complications, and design a suitable treatment plan.
04
It also helps in determining the patient's dental insurance coverage for orthodontic procedures.
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What is orthodontic patient history?
Orthodontic patient history is a comprehensive record of a patient's dental and medical background, including previous dental treatments, current dental issues, and any relevant medical conditions.
Who is required to file orthodontic patient history?
Orthodontic patient history is typically filed by orthodontists or dental professionals responsible for the patient's care, often in conjunction with the patient or their guardians.
How to fill out orthodontic patient history?
To fill out orthodontic patient history, a dental professional gathers information from the patient or guardians through a detailed questionnaire, ensuring all relevant sections such as personal details, medical history, and dental history are accurately completed.
What is the purpose of orthodontic patient history?
The purpose of orthodontic patient history is to provide orthodontists with essential information to diagnose conditions accurately, plan treatment effectively, and ensure patient safety during procedures.
What information must be reported on orthodontic patient history?
Information reported on orthodontic patient history includes the patient's name, date of birth, contact details, dental issues, medical history, previous treatments, allergies, and medications.
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