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Orion Dental Group4109 70th Avenue, Lloyd minster, AB. T9V 3L9 pH: 7808750102 Fax: 7808727428 reception@oriondentalgroup.ca www.oriondentalgroup.caComplete and Personalized Dental Impatient Name (First,

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How to fill out medical dental history form

01

Start by providing your personal information such as name, date of birth, address, and contact information.

02

List any current medical conditions or illnesses you may have.

03

Include any allergies or sensitivities to medications or materials used in dental treatments.

04

Mention any medications you are currently taking, including dosage and frequency.

05

Detail any past surgeries or hospitalizations.

06

Note any previous dental treatments or surgeries you have undergone.

07

Indicate any dental-related issues or concerns you may have.

Who needs medical dental history form?

01

Anyone seeking dental treatment or visiting a dental office for the first time may need to fill out a medical dental history form.

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What is medical dental history form?

Medical dental history form is a document that collects information about an individual's medical and dental history, including past illnesses, surgeries, medications, allergies, and dental procedures.

Who is required to file medical dental history form?

Any individual visiting a dental clinic or practitioner for the first time or after a significant period of absence is required to file a medical dental history form.

How to fill out medical dental history form?

To fill out a medical dental history form, individuals need to provide accurate information about their medical and dental history, including any recent illnesses, medications, allergies, surgeries, and dental procedures.

What is the purpose of medical dental history form?

The purpose of the medical dental history form is to help dental practitioners understand a patient's medical and dental background, which can affect their dental treatment and overall health.

What information must be reported on medical dental history form?

Information such as past medical history, current medications, allergies, past dental surgeries, and any dental problems or concerns must be reported on a medical dental history form.

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