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___ Orthodontic Acquaintance SheetDOB___Patients Name___ Age___ Sex: Male Female First Middle Last Name Patient Prefers to be called___ Home Number___Cell Number___ Home Address___ City___ State___
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How to fill out orthodontic acquaintance sheet

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How to fill out orthodontic acquaintance sheet

01
Start by filling out your personal information including name, date of birth, address, and contact number.
02
Provide details about your medical history, including any previous treatments or surgeries.
03
Mention any medications you are currently taking or any allergies you may have.
04
Fill in information about your dental history, such as previous dental work and any current issues you are experiencing.
05
Finally, sign and date the form to confirm that all the information provided is accurate.

Who needs orthodontic acquaintance sheet?

01
Anyone who is considering orthodontic treatment or has been referred to an orthodontist would need to fill out an orthodontic acquaintance sheet.
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Orthodontic acquaintance sheet is a document that contains information about a patient's orthodontic treatment and history.
Orthodontists and dental professionals are usually required to file the orthodontic acquaintance sheet for their patients.
The orthodontic acquaintance sheet should be filled out by providing accurate and detailed information about the patient's orthodontic treatment, including procedures done and any oral health issues.
The purpose of the orthodontic acquaintance sheet is to keep track of a patient's orthodontic treatment history and progress, and to provide essential information for future treatment planning.
Information such as the patient's name, age, treatment plan, procedures done, progress notes, and any relevant medical history must be reported on the orthodontic acquaintance sheet.
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