Step 4 — Health History

Dental & Medical Health Form

Your medical history and current medications directly affect the safest way to treat your teeth. Everything you share is kept strictly confidential and only seen by your treating clinicians.

Complete Your Dental and Medical Health History

Your medical and dental history helps us choose the safest way to care for your teeth. Please complete the form below before your appointment and list your current medications, allergies and health conditions, along with any concerns about your teeth or gums. Everything you share is kept confidential. Call us at 780 244 4777 if you need help.