Please complete the forms below prior to treatment and
return to Brenda@hygienehousecalls.com
Health History Form:
Health History Form will provide information regarding clients current and past medical conditions. Certain conditions require pre-medication prior to dental hygiene care.
Privacy Form ( HIPAA):
Your Privacy is important. Your information will not be shared unless authorized.
Email Communication Consent Form:
Your privacy is important. Your consent is appreciated.
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