Health Questionnaire form
STEPS
1) Please download and print the form from the links below.
LINKS, 3 PART FORM HERE:
2)Fill out the form and scan or photograph the three parts.
3) Email us back to jake@totalhealthdentistry.co.nz attaching the completed Health Questionnaire form (the three parts).
For patients interested on have a tooth implant or tooth extraction procedure we recommend to read our
Implant and Extraction notes
.