Harvard Oral and Maxillofacial Surgery Forms

Forms

For your convenience we’ve included downloadable forms for you to review and complete prior to your visit. Please complete the medical history form in its entirety and to the best of your ability.

A complete and comprehensive medical history will help your doctor to recommend the best treatment plan and to minimize any known risks. While completing the form, feel free to make a note of any questions to discuss with your doctor at the time of your visit

Open a document by clicking on it:
pdfMedical history form
pdfPatient Referral Form

(These items require Adobe Acrobat or the free Acrobat Reader,
click the icon to go to a download page