NB: This Form can be filled out electronically on your phone and then emailed to us. Alternatively, it can be completed on a computer but you may need to download it first to be able to fill it out electronically. You can then attach the completed Form to an email and send it to us.
As an existing patient, it is important that your contact details and medical history remain up-to-date so that we can continue taking care of you in the best possible way. For this reason, we will request that you complete our “Existing Patient Contact Details & Medical History Update Form” every 12 months. For your convenience, we have made this Form available as a PDF download.
NB: This Form can be filled out electronically on your phone and then emailed to us. Alternatively, it can be completed on a computer but you may need to download it first to be able to fill it out electronically. You can then attach the completed Form to an email and send it to us.
Patients often ask us why they need to fill out this Form (especially if they have seen Eden before at another dental practice). As a response, we have put together some questions and answers below to help you understand why. The Form may seem annoying, but it is our best source of information to help keep you safe and healthy.
As a dentist in Australia, Eden is required by law to have his patients complete and update a medical history form every 12 months.
However, it is not just as a legal requirement. Eden treats his patients holistically, rather than just assessing their teeth. This means that Eden needs to know about your general health so that he is able to plan your care properly. At Winter Smiles, our focus is on helping you with preventative dental care to ensure that your teeth and gums remain healthy, rather than just repairing the problem.
While you may have seen Eden before at another dental practice, we do not automatically have access to that dental practice’s records. Even if we do, it is important to ensure that your medical history is up-to-date so that Eden can take care of you in the best way possible.
The Form is a comprehensive medical history form. Although some of the questions may seem strange for your dentist to ask, all of the questions on the Form are relevant. The answers let Eden know if you may be at increased risk of certain oral health diseases or if some health conditions and medications may affect treatment options.
For example: