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Medical & Dental History Form

Step 1: Click the link below to download the PDF form to your computer or device.


Step 2: Open the form and fill it out. You can type directly into it or print it and fill it out by hand.


Step 3: When you're done, you can either:


– Upload the completed form using our Contact Form, or
– Take a photo or scan it and email it to us.

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© 2025 Family Dentistry of Braintree

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