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Briefly explain the problems you have had or are presently having with your dentures and you likes and dislikes of your dentures?
Medical & Dental History
In order to render optimum health service it is necessary to become acquainted with the vital information related to you. Of course all information is confidential.
When was your last dentalt visit?
What work did you have done?
Please check if you have, or have had any of the following
High blood pressure
HIV virus (AIDS)
Is there any medcal problem not mentioned that you feel we should be aware of?
Are you presently on any medication?