forms

These are some of the forms you may need for your visit to Canberra Dental Care.

  • Medical History Form
    On your first visit you will need to complete this form before you see the dentist or hygienist. Because your health is our prime focus we need to make sure we have all the relevant details about you.  While you might think that some medical information isn’t relevant to your dentist, it is surprising how connected the part of your body are. In addition it is important that we know what medications you are on to ensure there is not problem with any we prescribe. This information is treated with the strictest of confidences and is only used for treatment and file management purposes. Please see our privacy policy for more details.
    To save time when you arrive for your appointment you can complete it before arriving.
  • Medical History Update Form
    Every 12 months we ask that you update your medical history form. This is to ensure we have the most up to date medical history for you. To save time when you arrive for your appointment you can complete this update form before you arrive.
  • Authorsation for release of dental record
    If you are transferring from another dental practice we are able to obtain your existing records. However, we can only do this if you complete this form.
    To maximise your first visit this request can be made before you come. That way we will have all your records available on your first visit. Please print and forward this form to your old dental practice before your appointment with us. We are unable to request these records without your permission.

If you have any questions about any of these forms please contact us