This medical history is important because when combined with the results of your initial clinical examination, we will than be able to access your immediate dental care needs and recommend the best treatment approach. 

    Be sure to mention everything about your health, even if you don't think it relates to your mouth.  If you have had surgery or a major illness, be sure to include this information in this medical history.  Many disease can have significant effects on your mouth and teeth, and research continues to discover ways in which oral health is related to overall health.  Diabetes, for instance, can increase the risk of gum disease.

    Information about medications you are currently taking can be vital to your health, especially in an emergency.  Some medications cause dry mouth, which can increase the risk of cavities or affect the type of anesthesia to be given.    When you come to your appointment be sure to bring a current list of medications you are taking to insure an accurate record.  

     We assure you that all the information you provide us with will remain confidential.

As a patient you have the choice too:

     If you choose to submit this completed form beforehand it will assure faster processing of your paperwork at your appointment. So when you arrive for this appointment all you will have to do is sign and date this form to validate that it is accurate and up to date. 

Click here to fill out:  Medical/Dental History Form 

(Warning: there is no encryption system protecting the confidentiality of any material  that you may sent to us)

AGD Impact p19 2.04

Medical History in different languages.