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Church View Dental Practice » Blog Archive » Medical History

Medical History


Please find below a printable copy of the medical history.

Download Here

If possible please print out the medical history and complete it as best you can prior to your visit. Ensure to complete an up to date list of any medication you may be on. If necessary ask your pharmacist for a print out of your medication.

If you can’t complete it before your visit, please familiarise yourself with the questions so you have the information needed to complete the form on arrival.

Ensure you have your medical card and PPS numbers handy if they are relevant.