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Medical Questionnaire for New Patients
It is important for us to ensure personalized and safe dental care, so we kindly ask you to complete our confidential medical questionnaire before your first visit. Your health and well-being are our priority, and these details will help us better understand your health status and prepare your dental records appropriately.
Instructions for completing the form:
Download the form by clicking on the following link.
Save the form to your computer before filling it out. To ensure the security of your information, please do not fill out the form directly in your web browser.
Fill out the form on your computer accurately and with integrity.
Submitting the form:
Option 1: Print it and bring it with you to your appointment, along with your complete list of medications.
Option 2: Email it to info@cliniquedentairelacolle.com.
Important: If you need to cancel your appointment, please notify us at least 48 hours in advance by phone or email.
This process allows us to provide you with the best possible dental care while minimizing the risks of medical complications. Your cooperation and diligence in updating your health status are essential for your well-being.
Thank you for your trust, and we look forward to meeting you at Clinique Dentaire Lacolle.
