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The document is a Medical-Dental History form that collects personal, medical, and dental information from patients. It includes sections for personal details, medical history questions regarding health changes, medications, allergies, and serious illnesses, as well as dental history inquiries about dental care, symptoms, and habits. The form aims to gather comprehensive information to assist healthcare providers in understanding the patient's health status.

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Versions	Form popularity	Fillable & printable
2022	4.4 Satisfied (21 Votes)
2022	4.3 Satisfied (47 Votes)
2018	4.8 Satisfied (181 Votes)
2018	4.8 Satisfied (31 Votes)
2018	4.9 Satisfied (38 Votes)
2017	4.5 Satisfied (32 Votes)
2015	4 Satisfied (56 Votes)
2015	1 Satisfied (16257 Votes)
2014	3.9 Satisfied (70 Votes)
2014	4.8 Satisfied (60 Votes)
2012	4 Satisfied (36 Votes)
2009	4 Satisfied (48 Votes)
2009	4 Satisfied (23 Votes)
2009	4.6 Satisfied (60 Votes)

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