Aacorthodontics.com
Medical Dental History Form for Adult Patients
WebDate___________________. I have read the above questions and understand them. I will not hold my orthodontist or any member of his/her staff responsible for any errors or omissions that I have made in the completion of this form. I will notify my orthodontist of any changes in my medical or dental health.
Actived: 9 days ago
AAC Orthodontics Orthodontist Munster Schererville Valparaiso IN
WebDr. Lisac began practicing at AAC in 1992. He takes time listening to each of our patients, and providing treatments that meet the needs of each individual. Our practice is professional and fun! Dr. Lisac, Dr. Deek, and each member of our staff are here because they are passionate about orthodontics, and they want to help you have a positive
TMJ Patient History Form
WebSwallowing difficulty Throat tightness Throat soreness Laryngitis Voice fluctuations Throat congestion Frequent cough Frequent throat clearing Excessive salivation Tongue pain Pain in roof of mouth. Neck and/or Shoulder Pain. Neck/shoulder/back pain Neck/shoulder/back reduced mobility Frequent neck muscle fatigue Arm or finger tingling
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