F018 – Child Medical/Dental History Form

F018 – Child Medical/Dental History Form

$45.00

Description

Whimsical balloon design and simple layout make this form easy for parents to complete. Key features include: previous dental treatment; oral care habits; behavior patterns affecting oral health; chief complaint/special concerns; medical history, medications and allergy report; dentist's review section; and parental consent form.

Additional information

Weight 3 lbs