Medical History - Somerhill Dental Practice - somerhilldental co 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal details, including your surname, first name, date of birth, title, occupation, and contact information. Ensure accuracy for effective communication.
3. Indicate whether you have children and provide their ages if applicable. This helps the dental practice understand family health history.
4. Answer the medical history questions thoroughly. For each condition listed (e.g., diabetes, asthma), select 'Yes' or 'No' and provide additional details where necessary.
5. Complete the lifestyle section regarding smoking and alcohol consumption. This information is crucial for your treatment plan.
6. Finally, sign the form to confirm that all information is accurate and complete. If applicable, have a parent or guardian sign on your behalf.

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