We take your health very seriously. Many medical conditions can have a profound effect on your dental care and long term health, and vice versa. It is vital for all patients attending LCIAD to complete our confidential Medical History Questionnaire (MHQ) before their first appointment. This form will take around 15 minutes to complete. You can start the form and return to it later to complete by using the Save button.
If you are a new patient to LCIAD, please ensure that we receive your completed form at least 72 hours before your consultation so that we may prepare properly for your first visit.
Please also complete our one-off Dental Questionnaire before your first consultation.
If you are already a patient at LCIAD, please update your Medical History Questionnaire each time you attend the practice via the link that you will receive to ensure that we always have the most up-to-date status of your current medical condition. In future you will not need to re-enter all of the data, just edit what has changed and resubmit. We will send you a permanently active link to your completed form to edit after you have submitted the form the first time. Your data will be securely stored and protected.
IMPORTANT CHANGES JANUARY 2022:
Follwing feedback from patients, we have recently made some changes to our Medical and Dental History questionnaire (MDQ) by separating them into two forms – the old Medical and Dental Questionnaire is now divided into two forms:
The Medical History Questionnaire (MHQ) which needs to be completed and updated at every visit. Your existing data is maintained so you do not need to complete the whole form again, but a new link will be sent before your next appointment which you should keep for future updates.
This is to avoid the once-only dental questionnaire from cluttering up the Medical History Questionnaire (MHQ) which needs to be updated each visit.
Thank you for your understanding during this transition.