Dental Health History Form

Incorporate our intuitive dental health history form into your practice, and improve your data collection, patient-provider relationships, and, most importantly, clinical outcomes.

By Telita Montales on Jun 20, 2024.

Fact Checked by RJ Gumban.

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Dental Health History Form PDF Example
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What is a Dental Health History Template?

When a patient signs up to receive medical treatment at a dental practice, it is typically a requirement for them to complete a dental health history form. Just like other forms that are part of the intake process, these documents inform the dental practitioner of any important details regarding the patient’s health. This way, when the patient attends their first session at the dental practice, the practitioner will be aware of any allergies, medications, or previous health concerns that may impact treatment. Having access to this kind of data is absolutely essential when it comes to making appropriate and effective treatment decisions, leading to better clinical outcomes for the patient. While most dental practices will have methods in place for collecting dental health history, these can be a little outdated and clunky. With our in place, you will be able to automate the data collection process and ensure you have access to all of the information required to treat your patient. Our dental health history template is both well-designed and intuitive. By reducing administrative workload and enabling patients to have a more involved role in communicating with their dental practitioner, the resource will improve the care delivery experience for all.

Printable Dental Health History Forms

Download these dental health history forms to improve your clients' treatment outcomes.

How To Use This Template For Dental Health History

Effectively implementing the dental health history form into your practice is very easy. As long as you follow this step-by-step guide, you’ll be reaping the benefits of the dental history form in no time.

Step One: Access and save the template

The first thing you need to do is access the template. We’ve included a link to the dental history form down below, alongside a medical history example. If you click on the link, the dental health history will open in the PDF reader on your device. From here, we recommend saving the template to your device, where it can be quickly and easily accessed.

Step Two: Give the form to new patients

When a new patient signs up for your dental practice, you need to give them the form to complete. You can either give them the form to complete on the day of their first appointment, or you can send them a link to an electronic copy prior to their session. While both of these options are suitable, asking your patients to complete the form prior to their session is a more streamlined process that will save you time and keep your schedule optimized.

Step Three: Upload data to the system

After the patient has completed the dental health history form, you should upload the information they have recorded within your system. It is likely that your practice is using an EHR, and the data from the history forms should be a part of a patient’s records. With this information stored online, any authorized practitioner can access a patient’s records and stay informed about their health condition.

Step Four: Save the documents securely

When all of these steps have been completed and your patient’s health history has been processed, you need to store the form securely. These documents contain information concerning the patient’s medical history and as such, they are protected by HIPAA. In order to guarantee the protection of your patient’s privacy, we recommend storing the document online, using a practice management solution that has safeguards in place.

Dental Health History Example (Sample)

To help you gain an insight into how the dental health history form works, we’ve included a sample completed document. The specific responses included on the forms will evidently differ between patients, but this example should enable you to visualize its structure, format, and function.

Download this Dental Health History Example (Sample) here: 

Dental Health History Example (Sample)

Who Can Use this Printable Dental Health History Form (PDF)?

Although history forms are used in nearly every field of healthcare, the template that we have designed is primarily targeted toward patients receiving dental care. For that reason, it is most suitable for dental practitioners and nurses who work in dental practices. There is much more flexibility in relation to the kinds of patients that can complete the forms. Regardless of whether your practice specializes in patients who are:

  1. Children
  2. Adolescents
  3. Young adults
  4. Elderly patients
  5. Women
  6. Men
  7. Patients seeking surgical dental treatment 
  8. …Or any other type of patient

This dental health history form can be easily incorporated into your business.

Why is This Form Useful for Dentists?

When you make the decision to implement a new resource into your practice, it is understandable that you want the template to be as versatile and effective as possible. Our dental health history form has a variety of different uses, including:

  • Organization: One of the best uses of medical history forms is how well they improve organization. Figuring out the best ways to stay organized can be a difficult task, particularly given how busy dental practitioners usually are. With our template, you don’t have to worry about the layout or structure of medical history forms, as all of this has already been completed for you. 
  • Saves time: Fortunately, the dental health history form also works to save time for your practice. By streamlining the collection of this data and using a resource that has already been designed, you will likely find yourself with a bit of spare time on your hands. 
  • Automates intake: The primary use of the dental health history form is, of course, to automate a part of the intake process. Patients can be onboarded into your practice with ease, and you can ensure you have all of the data required to treat them well prior to their very first appointment.
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Benefits of Dental Health History Forms

It would be remiss of us not to mention the advantages that are associated with implementing our dental health history form into your practice. Some of these benefits include:

Reduce administrative workload 

More traditional methods of obtaining a patient’s medical history typically involve administrative staff contacting the client directly and requesting this information. While this process works, it is overly complicated and can lead to a frustrating amount of phone tag. By offloading this task to patients so they can complete the medical history form themselves, administrative staff working at a dental practice will have their workload significantly reduced. With this saved time, staff can instead focus on completing more important tasks.

Strengthen relationships with patients

The dental history forms should be completed prior to the patient’s first appointment with your practice. Distributing the form to them shows that you are invested in their health and are willing to listen to their needs. Patient-practitioner relationships are central to delivering quality care solutions and implementing these forms into your practice will show them from the get-go that you are operating a professional practice.

Obtain accurate data 

While errors are unfortunate, they do occur in the healthcare system, especially when obtaining data from patients. By giving the patients a role in data collection, you can feel confident that the information they record is accurate. Having accurate medical histories for your patients is essential when it comes to treating them appropriately and ensuring you know their medications and allergies.

Increase client satisfaction

Client satisfaction is a very important aspect of healthcare, and it begins from the moment a prospective client gets in touch with your practice. By encouraging patients to complete the dental history form prior to the day of their first appointment, you can reduce the amount of time they spend in the waiting room. Having a seamless and smooth first experience at a dental practice will increase the likelihood of a patient returning to your clinic, helping to elevate satisfaction and loyalty.

Improve clinical decision-making 

Ultimately, the dental health history form is designed to enable dental practitioners to make more informed clinical decisions. The information recorded on these documents will be used to devise an effective treatment plan, hopefully contributing to improved clinical outcomes.

Why Use Carepatron For Dental Health History Software?

Considering the advancements in technology in today’s digital age, investing in practice management software like Carepatron will be one of the best decisions you can make for your dental practice. Carepatron has a robust library of various templates, including this dental health history forms, that help elevate the organization and efficiency of healthcare practices. Carepatron has also devised patient engagement tools to help enable better communication between practitioners and patients and ensure that the care delivery process is as transparent as possible. With the client portal, patients can log onto a secure platform that displays appointment and payment information. This also allows documents, including the dental health history form, to be processed and shared between the patient and their practitioner. If you are looking for a platform that is diverse in its applicability, then Carepatron can still be the option for you. With mobile health, clinical documentation, appointment scheduling, and medical billing solutions, the practice management software are guaranteed to improve clinical and administrative processes at your dental practice.

Dental Health History Software
How often does a medical history need to be updated in a dental office?
How often does a medical history need to be updated in a dental office?

Commonly asked questions

How often does a medical history need to be updated in a dental office?

Typically, a dental office is required to update the medical histories of their patients at least once a year. The specific regulations for this may change depending on what state you live in, but it’s important that you keep your patient records as updated as possible. This will ensure that every clinical decision is informed and responds to the patient’s needs appropriately.

What is included in dental history forms?

The exact information that is included in a dental history form can vary slightly, but it should include allergies, medications, surgeries, injuries, current treatment, diseases, diagnoses, contact details of the practitioner and patient, and signatures.

Where should I store dental history forms?

Where you store your patient’s history forms is extremely important. Because they include confidential information about the patient’s medical history, they are covered by HIPAA. We recommend storing the completed forms in an EHR, where they can be protected 24/7 by secure electronic safeguards.

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