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Dr. Santa Dosh 10632 Little Patent Parkway, Suite 337 Columbia, MD 21044 (410) 7400144 www.pdcolumbia.comNew Patient Medical and Dental History Welcome to our office! Careful completion of this form
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How to fill out medical and dental history

01
Start by gathering all the necessary information such as personal details, medical conditions, and dental history.
02
Begin with the personal details section, which typically includes name, date of birth, contact information, and emergency contact details.
03
Move on to the medical history section, noting any past illnesses, surgeries, or medical conditions. It's important to include dates and details as accurately as possible.
04
Include any current medications or allergies that might be relevant to your medical or dental treatment.
05
Proceed to the dental history section, providing information on any past dental procedures, surgeries, or issues such as cavities or gum disease.
06
If relevant, mention any dental appliances or braces currently in use.
07
Finally, review the completed medical and dental history form for accuracy and completeness before submitting it to the healthcare provider or dentist.

Who needs medical and dental history?

01
Medical and dental history is needed by healthcare providers and dentists for various reasons:
02
- It helps them better understand the patient's overall health status and any medical conditions that could impact their treatment.
03
- Medical and dental history plays a crucial role in diagnosing and planning appropriate treatment.
04
- It helps identify potential risks or complications during procedures or surgeries.
05
- The information provided in the medical and dental history can guide the healthcare provider or dentist in prescribing medications or recommending dental treatments.
06
- It serves as a reference for future visits and allows the healthcare provider or dentist to track changes or developments in the patient's health over time.
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Medical and dental history is a comprehensive record that includes an individual's past and present health conditions, treatments, medications, allergies, and any relevant dental treatments undergone.
Patients seeking medical or dental care, healthcare providers, and institutions may be required to file medical and dental history for proper treatment and insurance purposes.
To fill out medical and dental history, individuals should carefully complete the provided form, ensuring that all relevant health information, medications, allergies, and past treatments are accurately documented.
The purpose of medical and dental history is to provide healthcare professionals with essential information to diagnose conditions accurately, plan treatments, and ensure patient safety.
Individuals must report their medical conditions, treatments, allergies, surgeries, family medical history, current medications, and any past dental issues or treatments.
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