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Child Orthodontic Medical History PATIENT\'S NAME: ___RESIDENCE TEL: ___BIRTH DATE:AGE: ___BUSINESS TEL (MOTHER): ___SCHOOL: ___BUSINESS TEL (FATHER): ___RESPONSIBLE PARTYPATIENT\'S CELL: EMAIL: ___Dr.

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How to fill out child orthodontic medical history

01

Begin by obtaining a child orthodontic medical history form from the orthodontic office.

02

Fill out the child's personal information, including their name, date of birth, and contact information.

03

Provide details about the child's medical history, including any past surgeries, medications they are currently taking, and any allergies they may have.

04

Answer questions about the child's dental history, such as previous orthodontic treatment, history of tooth extractions, and any issues with jaw pain or clicking.

05

Make sure to sign and date the form, indicating that the information provided is accurate.

Who needs child orthodontic medical history?

01

Parents or legal guardians of children who are seeking orthodontic treatment will need to fill out a child orthodontic medical history form.

02

Orthodontists and other dental professionals also require this information in order to provide safe and effective treatment for their young patients.

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What is child orthodontic medical history?

Child orthodontic medical history is a comprehensive record of a child's dental and medical background, which helps orthodontists understand any conditions or factors that may affect orthodontic treatment.

Who is required to file child orthodontic medical history?

Typically, parents or guardians of the child are required to file the child orthodontic medical history before the first orthodontic consultation.

How to fill out child orthodontic medical history?

To fill out child orthodontic medical history, parents should provide accurate and complete information regarding the child’s dental and medical history, including any previous treatments, allergies, medications, and relevant family medical history.

What is the purpose of child orthodontic medical history?

The purpose of child orthodontic medical history is to provide orthodontic practitioners with essential insights into the child's health and dental needs, which aids in creating an effective treatment plan.

What information must be reported on child orthodontic medical history?

Important information includes the child's current dental status, previous dental treatments, any medical conditions, medications, allergies, and family orthodontic history.

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