Dental Health History Form

What Is Dental Health History Form?

It’s a document that collects information about a person's dental background: their past treatments, oral health issues, medications, allergies, and habits such as smoking. It's like a tooth diary that holds all the details about your in-mouth issues. The file helps dentists understand a patient's teeth health and adjust treatments accordingly. You can access the ADA Dental Health History Form template in the PDFLiner's catalog of templates.

Information to include on the dental health history forms

Below, we've provided details about what to include on the Dental Office Health History Form:

• Past Tooth Fix-Ups. Mention any dental work you've had — like surgeries or filling up cavities.
• Oral Health Issues. Tell about any ongoing or past tooth troubles you've faced — like toothaches or gum problems.
• Medicines and Allergies. List any meds you're on and any allergies that can affect the state of your teeth.
• Bad Habits. Share any habits that damage your teeth, like eating sweets, smoking, or teeth grinding.
• Family Tooth History. Mention any tooth health issues that run in your family.

Providing these details helps dentists understand your teeth health background for better care.

How to Fill Out Health History Form Dental

Below, you will find a 12-step guide for filling out the Dental Health History Form PDF template provided in the PDFLiner’s online catalog:

1. Find the template in our extensive catalog of niche-focused documents.
2. Open it and begin completing it (make sure you’re logged in to PDFLiner).
3. Indicate your email address.
4. Specify the current date. 
5. Provide basic details about yourself: your name, age, and contact information.
6. Write about any past procedures or surgeries you had.
7. Mention any ongoing or previous tooth problems: cavities, gum disease, or toothaches.
8. List any medications you're taking and mention any allergies you have, especially those affecting dental treatments.
9. Share habits that affect your teeth: smoking, teeth grinding, or frequent snacking.
10. Include details about your dentist visit history — when you last visited a dentist and why.
11. If necessary, note any tooth issues that run in your family.
12. Double-check all the entries for accuracy and completeness before further use.

Using PDFLiner's pre-designed form templates is your go-to solution to simplify paperwork. It's easy and stress-free to pick the right form and fill in the details there. 

How often should dental health history forms be updated?

Make sure your dental health history form isn't stuck in the past — update it when your teeth go through a makeover. It's a good idea to review and update the form on dentist visits, especially if you experience new treatments, medications, or significant changes in your dental health. This way, your dentist stays informed about your teeth state and can keep your smile shining bright.