Get the free Dental History

Name: Fillable Online Dental History Questionnaire Fax Email Print - pdfFiller
Brand: pdfFiller
Rating: 4.2 (24 reviews)

Get Form

Show details

This document is a questionnaire designed to collect information about a patient\'s dental history and current dental health status. It includes questions regarding dental problems, treatments, and

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign dental history

Edit your dental history form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your dental history form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit dental history online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

To use the professional PDF editor, follow these steps below:

1

Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.

2

Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.

3

Edit dental history. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.

4

Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.

pdfFiller makes working with documents easier than you could ever imagine. Create an account to find out for yourself how it works!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.

Learn more about security & compliance

How to fill out dental history

01

Start with your basic personal information including full name, date of birth, and contact details.

02

List your current dental insurance provider, if applicable.

03

Provide a summary of your medical history, including any chronic conditions or medications you take.

04

Record any previous dental treatments you've undergone, such as fillings, crowns, or extractions.

05

Indicate any allergies, especially to medications or dental products.

06

Note any ongoing dental issues or concerns you're experiencing.

07

Mention your oral hygiene practices and frequency of dental check-ups.

08

Include family history of dental issues, if relevant.

Who needs dental history?

01

Patients seeking dental treatment.

02

Dental professionals for accurate diagnosis and treatment planning.

03

Insurance providers to verify coverage and claims.

04

Research studies that analyze dental health trends.

Fill form : Try Risk Free

Rate the form

4.2

Satisfied

24 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

How can I send dental history to be eSigned by others?

When you're ready to share your dental history, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.

Can I edit dental history on an iOS device?

You certainly can. You can quickly edit, distribute, and sign dental history on your iOS device with the pdfFiller mobile app. Purchase it from the Apple Store and install it in seconds. The program is free, but in order to purchase a subscription or activate a free trial, you must first establish an account.

How do I complete dental history on an iOS device?

Install the pdfFiller iOS app. Log in or create an account to access the solution's editing features. Open your dental history by uploading it from your device or online storage. After filling in all relevant fields and eSigning if required, you may save or distribute the document.

What is dental history?

Dental history is a comprehensive record of an individual's past dental treatments, oral health conditions, and any relevant medical history that may impact their dental care.

Who is required to file dental history?

Patients seeking dental care are required to file a dental history, which must be completed by the patient or their guardian before any treatment.

How to fill out dental history?

To fill out dental history, patients typically need to provide information about their previous dental treatments, current oral health status, allergies, medications, and general health conditions.

What is the purpose of dental history?

The purpose of dental history is to ensure that dental professionals have all necessary information to provide safe and effective care, understand the patient's dental needs, and identify potential risks or complications.

What information must be reported on dental history?

Dental history must report details such as past dental procedures, ongoing treatments, medications, allergies, medical conditions, family dental history, and any current oral health issues.

Fill out your dental history online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now