Dental Health History Form

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2 have a pacemaker, or have you had any form of heart surgery? Please contact the practice on 0203 815 5142 where you will be diverted to our dedicated emergency contact and you will be.

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Web if you need emergency dental treatment after 6pm, at weekends or bank holidays, contact nhs 111. We ask you for information about your general health to help us treat you safely. كما هو الحال في كل عيادات طب الأسنان،نطلب من المرضي ان يمدونا بمعلومات عن الصحة العامة او عن اي أدوية تم اخذها لمساعدتنا في يرجي كتابة تفاصيل الاتصال الشخصية أدناه. Web the dental history form should include sections for basic patient information, medical history, dental history, previous dental treatments, allergies, and any specific concerns.