New Patient or updated Patient Details
Which location is managing your booking?
This information is collected to understand your health history. As some medical conditions can contradict dental treatment, it's important information your dentist needs to know.
This will require you signing a Request for records Consent.
**Especially if any dental x-rays were previously taken, as Oral Health & Beyond will only take diagnostic images if clinically necessary.
I submit this medical form on behalf of my child & I understand that this information is correct to the best of my knowledge. I understand it will be held strictest confidence and only used to improve the quality of the service provided.