Medical Questionnaire

kartonFor each of our patients, the office opens a medical chart with the aim of the best possible quality of monitoring of the treating process and interventions performed on the teeth. The chart includes very precise data on the condition of the teeth and jaw, as well as a detailed dentist’s work and every treatment. The secrecy of all information is guaranteed, and the only person with access to your personal information is your dentist.

To make our cooperation effective and efficient, we would kindly ask you to fill in the attached questionnaire before your first visit to the dentist so that we would have basic information about your medical condition. Carefully read the questions. It is in our mutual interest that your answers are sincere.

Here you can download the questionnaire – Questionnaire to fill in before the first examination

In the event that you are not able to fill in this questionnaire in advance, you can still do it at our premises before your first examination.