Get Dental History Form

Filling out the dental history form online is an essential step in facilitating your dental care. This guide provides clear and straightforward instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your Dental History Form online:

1. Click ‘Get Form’ button to access the Dental History Form and open it in your preferred editor.
2. Begin by entering your name and nickname in the designated fields.
3. Specify your age by filling in the age field.
4. Indicate who referred you to the dentist in the provided space.
5. Rate the condition of your mouth by selecting one of the options: excellent, good, fair, or poor.
6. Fill in the name of your previous dentist and the duration of your relationship in months or years.
7. Provide the dates of your most recent dental exam, x-rays, and any treatments other than a cleaning.
8. Indicate how often you routinely see your dentist by choosing from the listed frequency options.
9. Articulate your immediate dental concerns in the space provided.
10. Answer the personal history questions with a simple yes or no, providing additional details where indicated.
11. For each section under smile characteristics, answer the questions regarding the aesthetics of your teeth as applicable.
12. Address the bite and jaw joint section by responding to the questions about any issues or habits related to your jaw.
13. In the tooth structure section, detail any experiences with cavities, sensitivities, or structural concerns of your teeth.
14. Respond to the gum and bone section by indicating any issues you've experienced with gums or oral health.
15. Sign and date the form at the bottom to confirm the accuracy of the information provided.
16. Once completed, save your changes, and you may choose to download, print, or share the form as needed.

Complete your Dental History Form online today for a smoother dental experience.