Medical History Form

 
HRS Banner - Orthodontics.jpg

Medical History

Please provide us with information about your general health and medical history. This will help us to treat you safely.
Please do not provide an answer if you don’t understand the question. Instead, please let us know and you can then discuss any queries with your dentist before you start any treatment. They will be happy to help!

Thank you for taking the time to provide this important information.