FILGIANO DENTISTRY GET ACQUAINTED QUESTIONNAIRE

Dear Patient In order to render optimum health service, it is necesary to become acquainted with the vital information related to each patient. All information recorded is strictly confidential. Although some questions may seem unimportant at the moment, they may vital in case of emergency. Because of this, please answer every question. If you have any problem or require assistance feel free to ask our receptionist at 905-294-6444.

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  • Dental history

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  • Oral Self Care

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