Medical History

Ireland Dental Patient Medical History

Section 1

Although dental personnel primarily treat the area in and around your mouth, your mouth is a part of your entire body. Health problems that you may have, or medication that you may be taking, could have an important interrelationship with the dentistry you will receive. Thank you for answering the following questions.

Do you have, or have you had, any of the following:

PHOTO SUBMISSIONS

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OPEN CALLS

123-456-7890
Monday to Thursday 2pm – 5pm

Dear Patients,
We are seeing non-emergent dental patients.

For more information on what to expect at your next appointment, please visit our updates page.

We look forward to seeing your smiles!