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ORTHODONTIC MEDICAL HISTORY DR. JOFFREY MARTIN, DMD Please indicate below how you would like to be reminded of your appointments: TextEmailBothTodays Date: Parent/Guardians Name: Patients Name: Patients
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How to fill out orthodontic medical history
How to fill out orthodontic medical history
01
Step 1: Obtain the orthodontic medical history form from the orthodontist or download it from their website
02
Step 2: Begin by providing personal information such as name, date of birth, and contact information
03
Step 3: Indicate any previous orthodontic treatment by checking the appropriate box and providing details if necessary
04
Step 4: Provide a detailed dental history, including any previous dental problems, surgeries, or injuries
05
Step 5: Mention any existing dental conditions such as cavities, gum disease, or tooth sensitivity
06
Step 6: Fill out the medical history section, including information about allergies, medications, and chronic illnesses
07
Step 7: If the patient is currently under medication, list the medications and their dosages
08
Step 8: Specify any known drug or food allergies
09
Step 9: Answer questions about habits that may affect orthodontic treatment, such as thumb sucking or teeth grinding
10
Step 10: Sign and date the form to acknowledge that the information provided is accurate and complete
Who needs orthodontic medical history?
01
Anyone undergoing orthodontic treatment or considering orthodontic treatment needs to fill out an orthodontic medical history. This includes children, teenagers, and adults.
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What is orthodontic medical history?
Orthodontic medical history includes information about a patient's dental and orthodontic treatments, including any previous surgeries, braces, or other orthodontic appliances used.
Who is required to file orthodontic medical history?
Patients who are seeking orthodontic treatment are required to file their orthodontic medical history.
How to fill out orthodontic medical history?
Orthodontic medical history can be filled out by providing details about past and current dental treatments, surgeries, medications, and any relevant medical conditions.
What is the purpose of orthodontic medical history?
The purpose of orthodontic medical history is to help orthodontists assess a patient's dental health and create a personalized treatment plan.
What information must be reported on orthodontic medical history?
Information such as previous dental treatments, surgeries, medications, allergies, and any relevant medical conditions must be reported on orthodontic medical history.
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