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Name:DOB:Patient/Parent/GuardianInitial:Date:Please YES or No to each question. If unsure of a question, please consult with the dentist. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.
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Anyone visiting Hunter Dental Clinic for the first time will need to fill out the hunter-dental-medical-history-formdocx. This form helps the dental office gather important medical and dental information about the patient, which is necessary for providing appropriate dental treatment and care.
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It is a medical history form for dental purposes.
Patients visiting a dental clinic are required to fill out this form.
The form should be completed with accurate information about the patient's medical history and current health status.
The purpose of the form is to provide dentists with important information about the patient's health, which can affect dental treatment.
Information such as past medical conditions, current medications, allergies, and surgical history must be reported on the form.
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