Filling out this data sheet is required for a safe and efficient dental treatment. From your answers we learn your health problems from the past, your drug sensitivity and your current health status. This knowledge is the base for starting your treatment. Please read the questions carefully and help our work with your answers. If you need any support please talk to our colleagues. Your data will be handled with maximum discretion aligned with the operative data management laws of Hungary.
Mark your answer at the corresponding place. If yes, please write the details next to it.