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Patient Medical & Dental History A E S TH Information E T I C & FA M I LY Patient First Name'd E N T I S T R Y Date of Birth:Last Name: Postal Code:Mental HistoryPhone:BY Please answer the following

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PDF jaw dysfunction is a condition that affects the temporomandibular joint, causing pain and limited movement of the jaw.

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Patients can fill out the PDF form by providing accurate information about their symptoms, medical history, and any treatments they have received for jaw dysfunction.

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