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Health History Questionnaire

Before your first visit, please download one of the Health History Questionnaires below. Once you have downloaded this form, print it out, fill in all information completely, and bring it with you to your first consultation.
 questionnaire1 General Dentistry – Adults
Click here to download the form for adults coming to see the general dentist for the first time.
 questionnaire2 General Dentistry – Children
Click here to download the form for children coming to see the general dentist for the first time.
 questionnaire3 Orthodontics – Adults
Click here to download the form for adults coming to see the orthodontist for the first time.
 questionnaire4 Orthodontics – Children
Click here to download the form for children coming to see the orthodontist for the first time.

 

How Do I Schedule a Consultation?

Please call 301-723 -7184 today to schedule your free initial consultation! The general dental and orthodontic services we offer at University Centre Dental Associates have improved the lives of people from in and around Washington, DC, including residents in Greenbelt, MD, and Bowie, MD, as well as Prince George’s County, Montgomery County, and Anne Arundel County. Whether you are an adult, a child, or a teenager, our knowledgeable staff is committed to helping you achieve the smile you deserve. Please call 301-723 -7184 today to schedule your free initial consultation!