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As required by law, our office adheres to written policies and procedures to protect the. I have read the above questions and understand them. Web use the 2021 edition of the ada patient dental and medical health history information form to collect pertinent. Web explore a detailed guide on a discharge summary, its requirements, examples, and a free downloadable template to streamline. Web sample health history forms are available through the american dental association’s (ada) department of product development. I will not hold my orthodontist or any member of. Web the american dental association (ada) offers a comprehensive health history form, for adults or children in both english and.