Medical History

Your medical and social history

Please download the Medical History Form here and either complete and email it to us at or complete, print and bring with you to your appointment.

All patients at Russell Street Dental Clinic have to complete a detailed medical and social history form on their first appointment.

This form is checked and updated with any changes at every dental appointment.

We ask for information about your general health to help us treat you safely.

Please note that this information is stored securely and kept strictly confidential.