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Confidential Medical History Form

Welcome to Best Health Clinics! In order to help us meet all of your dental/medical
health care needs, please complete the following Medical History Form. Please ask a member of our team if you need any assistance or have
any questions. We will use this form in future visits to discuss any changes to your
health. All responses will be treated in strictest confidence by the team caring for you.

Please bring proof of ID, passport, driving license or birth certificate with you.

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