skip to main content
Sustainable SMILES
bLink Portal Schedule An Appointment

Medical History

History Form

The first step in your Orthodontic treatment is to complete the Medical History Questionnaire.  This form asks for your basic contact & financial information, your dental history, habits & complaints, as well as your medical history, such as allergies & medications. The information you provide will be reviewed by Dr. Summer and incorporated into your treatment plan.

You can complete this questionnaire at any time before your first appointment - even from the comfort of your own home by clicking here.  You can also complete the questionnaire at the office on one of the iPads available in the reception area. Just click on the Medical History icon on the iPad. No paper forms asking for repititive information are ever used- Yeah!!!

Typically, this form can be completed in 10-15 minutes.

Once you've submitted the form, you're ready for us to take your Diagnostic Records.





Love Your SMILE Too!