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Medical History Questionnaire

Welcome to Greenwood Dental.  In order to provide you with complete quality care we need to know about your state of health & medical history.  In accordance with the Privacy Amendment Act 2000 & the Health Records & Information Privacy Act 2002, all information provided will be treated in strictest confidence & available only to third parties you have consented to. Please complete as accurately as possible. Thank you

Medical History Questionnaire

Welcome to Greenwood Dental.  In order to provide you with complete quality care we need to know about your state of health & medical history.  In accordance with the Privacy Amendment Act 2000 & the Health Records & Information Privacy Act 2002, all information provided will be treated in strictest confidence & available only to third parties you have consented to. Please complete as accurately as possible. Thank you