SmileWork Children / Teenager Health Questionnaire Online.

If you are a Child or a Tennager, this Secure Health Questionnaire Form Online is for you! Please take care of filling it out properly, to the best of your knowledge. Upon completing the form, submit. When the form is submitted successfully, it will disappear and you will see a confirmation line in its place. The questions marked ( * ) are mandatory and the submission will fail, when they are not answered.

At SmileWork Dental Centre, we believe that convenience of filling the Health Form Online out from the comfort of your home is preferable over doing it, the old-fashioned way with a clippboard in our office. If you choose, form can also be filled out and printed on you printer and taken to the office!

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