Market Place Dentistry, Quality Dental care in Thirsk, Yorkshire
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Health Questionnaire

Please complete the form below if you are joining us as a patient for the first time, or are updating your health details on your record with us.

If you have already done this since June 2020, there’s no need to do so again unless any of your medical details have changed.

Having trouble?
1. Make sure you have completed all the fields
2. After signing, make sure you click “Finish”, then “Tap to sign” on a phone/tablet, or “Click to sign” on a computer
3. Make sure your DoB is shown in the format DD/MM/YYYY
4. Still having trouble, watch our how-to video here.

Open Health Questionnaire >