Have you ever suffered from... or do you suffer from...?*
The dental file is created as part of the care that will be provided. It is protected by law and professional secrecy. It is kept in the office and only the dentist and the staff have access to it. The patient also has the right to access and rectify it.
I have completed this questionnaire to the best of my knowledge. This questionnaire will allow the dentist and the staff to provide the best possible care and reduce the risk of any medical complication(s). As a patient, it is in my interest to respond carefully and to notify the dentist of any change in the state of my health.
Thank you for filling out the questionnaire