Dental Health History Form

Easily collect the data you need before a dental patient's first appointment.

Simplify your workflows

Collecting and maintaining a patient's dental history is essential to successful treatment and preventative care. But many dentist offices still use paper forms to gather this data, causing errors and unnecessary manual work. This easy-to-use dental health history form can help you keep an accurate record of patients without the burden of paper. Sections for contact information, prior cleanings, and medical history are included so you can collect all the information you need before a patient's first appointment.

Improve patient experience

Create a good first impression by adding your branding to this dental health history form template. The Theme Editor can help you add logos and tweak colors, buttons, fonts, spacing, and messaging. No coding knowledge required! Including Conditional Logic on your form can add a little personalization by hiding or revealing certain questions depending on a patient's answers.

Empty busy waiting rooms

Tired of dealing with busy waiting rooms? Cycle through appointments faster by letting patients complete all necessary forms before they even walk into your office. Formstack's dental health history form looks great on any device. Easily share it on your website or email it out to patients. You'll get the info you need quickly, and patients won't have to fill out paperwork.

Enhance your efficiency

From appointment preferences to insurance details, a lot of information needs to be collected when a new patient arrives at your office. The Portals tool can help you group these forms together in one place so patients can fill them out anywhere. Include this dental health history form template in your patient portal, track completion, and send email reminders to late patients.

Protect data with HIPAA

Keeping security standards top of mind is critical when collecting patient data online. Formstack's HIPAA compliant solution can help you safely capture, store, and export patient health information across any device. User-level permissions, advanced data encryption, audit logging, and dedicated security maintenance make it easy to protect PHI and your peace of mind.

Using Formstack reduces failure when bringing in new patients. It increases efficiency and cuts down on data entry for both patients and staff.
Dr. Chris Bojrab
President of Indiana Health Group

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