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TELL US HOW YOU FOUND US! NAME ___DENTIST ___ CITY OF RESIDENCE ___DATE___ WE WOULD GREATLY APPRECIATE FOR YOU TO COMPLETE THE FOLLOWING SURVEY TO SEE HOW OUR PATIENTS HEARD ABOUT US! PLEASE CHECK
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List down any current dental problems or concerns.
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Include information about past dental procedures or surgeries.
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Provide details about any medications being taken or medical conditions that may affect dental treatment.
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Note any allergies or sensitivities to medications or materials used in dentistry.
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Include information about any habits that may affect dental health, such as smoking or teeth grinding.

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Anyone who is a new patient at a dental office.
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Dental history adult amp is a form that documents an adult's dental history including past treatments, current medications, and any known allergies.
Adult patients visiting a dental clinic are required to fill out the dental history adult amp form.
Patients can fill out the dental history adult amp form by providing accurate information about their dental history, medications, allergies, and any previous treatments.
The purpose of dental history adult amp is to help dental professionals understand an adult patient's dental background, which can aid in providing appropriate treatment and avoiding potential complications.
Information such as past dental treatments, current medications, known allergies, and any dental issues or concerns should be reported on the dental history adult amp form.
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