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MEDICAL & DENTAL HISTORY QUESTIONNAIRE PLEASE FILL BEFORE YOUR APPOINTMENT (Please Print)PERSONAL INFORMATION Last NameFirst Name Date of Birth (DD/MM/BY)Preferred name (if different from First Name)Genome
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How to fill out medical ampamp dental history

01
Gather necessary information such as personal details, medical conditions, current medications, past surgeries, allergies, and family medical history.
02
Complete the provided forms accurately and honestly.
03
Provide any updates or changes to your medical and dental history at each visit to ensure accurate record keeping.

Who needs medical ampamp dental history?

01
Healthcare providers such as doctors, dentists, and specialists require medical and dental history to provide appropriate care and treatment.
02
Patients should also keep a record of their own medical and dental history for personal reference and to share with healthcare providers when necessary.
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Medical & dental history is a record of an individual's past and current health conditions, medications, surgeries, allergies, and dental procedures.
All individuals, especially patients visiting healthcare providers, are required to provide their medical & dental history.
Medical & dental history forms are typically filled out by patients or their caregivers, providing detailed information about their health background.
The purpose of medical & dental history is to provide healthcare providers with essential information to deliver appropriate and effective care to patients.
Medical & dental history must include details on medical conditions, surgeries, medications, allergies, family medical history, and dental treatments.
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