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Orthodontic Treatment Medical History Form

Asks about previous orthodontic treatment, TMJ symptoms, and oral habits. Built for orthodontic specialty practices.

Questions
9
Page
1
Time
about 2 min

Includes

  • Medication list
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Your practice

Orthodontic Treatment Medical History Form

Live preview. Tap through it like a patient.

Who it is for

  • Orthodontic specialty practices
  • Pediatric dentistry with orthodontics
  • Multi-specialty dental groups
  • Clear aligner providers
  • Orthognathic surgery centers

Formisoft for DentalFormisoft for Pediatrics

What's inside

  1. Patient NameText · Required
  2. Date of BirthDate
  3. Previous Orthodontic TreatmentLong Text
  4. TMJ SymptomsLong Text
  5. Oral HabitsLong Text
  6. Current MedicationsMedications
  7. Missing or Extracted TeethLong Text
  8. Breathing PatternLong Text
  9. Family Orthodontic HistoryLong Text

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Orthodontic Treatment Medical History Form, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

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Questions

Responses are encrypted, only your team can see them, and a BAA is included.

Yes. You can add, remove, reorder, or reword any of the 9 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Yes. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Send it before the visit, so patients arrive ready.

Book a short call and we will set up the Orthodontic Treatment Medical History Form for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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