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New Patient Medical History Form

All new patients will be asked to complete a Medical History Form. This is so we know any relevant medical information that may affect the success of your dental treatment, and so we can deliver your treatment safely. All information you provide us with is strictly confidential.

You can download this form, complete and bring with you to your appointment. Alternatively, please arrive 10 minutes prior to your appointment and complete the form on reception.

Please click here to download the Medical History Form.

Authority to Release your previous Records Form

Patients can use this form to give Robert Duhig Dental authority to obtain your previous dental records.

Please click here to download the ADA Release Form