Medical history

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26 Medications including:

Privacy policy & consent

In order to provide you with the highest standard of dental care, our practice is required to collect personal information from you. This information covers basic details such as your name, address and telephone number, but it is also necessary for us to obtain from you details regarding your general health and past medical or surgical events. Without this general information we would be hindered in giving you the correct treatment.

A full copy of the way we maintain your privacy is available on our website at www.cjdentistry.com.au/privacy or is available at the reception desk.

Please read and sign below if you give your consent to the following:
I consent to the use of my dental records (eg. dental x-rays, photographs, plaster models etc.) for purposes of consultations, consultations with my orthodontic/ doctor/health professionals, for educational and research purposes, publication in professional journals, or use in professional collateral materials. I do not consent to the use of my specific name, address, or other identifying information without further written consent.

PLEASE BE AWARE FULL PAYMENT IS REQUIRED AT THE TIME OF APPOINTMENT