Dental History Form

Form Template

The Dental History Form app offers complete customization for all types of dentist's office records, making it a powerful tool for general dentistry practices and dental offices, as well as medical dental implant specialists, dental hygienists, and even dental schools.

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This app will quickly replace your current dental patient software!

The Dental History Form makes it easy to provide outstanding patient dental health care and dental services, no matter what your specific field is. Patients receiving dental health care simply enter all relevant information, including previous tooth injuries, previous surgeries with general anesthesia, information about previous health care providers, and other details, directly into a tablet, mobile device or PC. Additional space is also included for patients to enter other relevant information about previous dental and orthodontic care that the dentist can use to make a more precise diagnosis and treatment plan.

From questions posed about last dental x-rays and root canals, to the specifics about early childhood dental problems and gum disease, this application includes all the up front screening and dental treatment history dentists need, without the need for a long paper dental treatment history form. Whether you run a small dental health practice or provide more specialized periodontal gum treatment services and root canals, this app will make sure you are proving the absolute highest quality dental health care for each patient and their teeth.

GoCanvas boasts tons of dentists forms and apps!

  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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