7to7 dentists require medical history to create individualised dental plans.

It is essential that we are aware of all medications and medical conditions so that we can take steps to prevent any medical conditions being aggravated by our dental treatment.

  • MM slash DD slash YYYY
  • High Blood Pressure
  • Diabetes
  • Heart Conditions or Heart Surgery
  • Arthritis
  • Excessive Bleeding
  • Asthma or Bronchitis (Which one?)
  • Rheumatic Fever
  • HIV or Hepatitis A,B or C (Which one?)
  • Hip/Knee Replacement (Which one?)
  • Epilepsy
  • Anxiety or Depression (Which one?)
  • Allergies
  • Ladies, are you pregnant?
  • Radiation therapy to the head or neck
  • Treatment therapy for cancer
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.