Patient viewing a digital teeth scan on the iTero screen at Amanda Lawrence Orthodontics
Form

Patient Medical History Form

Your health and safety are important to us. Before your appointment, we ask all patients to complete a medical history form so we can provide orthodontic care that is appropriate for your individual needs.

The information you provide helps us to:

  • Understand any medical or dental conditions that may affect your treatment

  • Plan orthodontic care safely and effectively

  • Ensure we are prepared for your appointment

All information is kept strictly confidential and managed in accordance with privacy regulations.

Please let us know if there have been any changes to your medical history since your last visit.

If you have any questions while completing the form, our reception team is happy to assist.

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Our goal is to deliver high quality care in a comfortable and caring environment.
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If you have any question or need help feel free to contact us for assistance
Email: info@amandalawrence.com.au
22 Thomas Street, Hampton Vic 3188
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