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DENTAL HEALTH REASONS

FOR FILLING OUT DENTAL FORMS

Oral health is essential to your general health 
and well-being .

Patients are often confused as to the reasons why they need to fill out medical and dental history forms.  People often do not realize how their dental health affects their physical health and how their physical health affects their dental health. 

      Dentist can help you become healthier by not only examining the inside of your mouth but also by helping you understand the mouth-body connection!

     Dental exams can reveal gum disease, cavities, oral cancer, poor oral health conditions that are linked to diabetes, heart disease and poor overall health. Because of how these risk factors are related to each other you will be asked additional questions regarding your health.  

     The answers to these questions help us determine risk factors to help us provide you with better treatment recommendations that are SPECIFIC TO YOU.  We can teach you what risk factors affect YOUR health.  We will do all we can to help you decrease your chances for heart disease, diabetes and other health problems.

     In addition many medications have side effects that affect oral health.  Two out of every five patients take some kind of medication that could have a dental related side effect!  With age, this fact doubles.

Fill out the medical form in the convenience of your home.

     Please take the time to complete :

                Medical History

                Patient Information Form

                Notice of Privacy Practices

                Patient Survey

You can send these forms by:

1. Fax:  308-436-3451

2. Mail them to us before your appointment: 1415 Sage Street, Gering NE 69641

3. Bring them with you to your first appointment. 

We will have you sign and date them at your first appointment.  This will allows us to serve you faster and more efficiently.

     Be prepared to provide us with:

1. Present medical condition

2. Drug allergies

3. Problems with medications

4. Changes in any medication

5. List of current medication and over the counter medications

6. Last visit to doctor

7. Are you taking a blood thinner?  When you take a blood thinner, there are concerns that you may bleed unusually heavily after an extraction or having your teeth cleaned.  It is important that your doctor’s office contact us with a recent INR result before you have a cleaning, root planing, or any kind of dental surgery including extraction or gum surgery.  The INR result helps decide whether we can do the procedure with a high level of safety.    We can’t stress enough that our office must have good communication  with your doctor to insure the greatest safety for you.
    

Working together we can choose the treatment most appropriate for you!

Travis ready to take your information

Please click here for: Medical History Form

Please click here for: Social History/Patient Information Form