The Medical Questionnaire is meant to inform your dentist about your personal health situation, like present or past illnesses or medical complaints you may have (had) and medication you use(d). This information is used to determine the right treatment while making sure necessary precautions are taken. Please make sure fill out the questionnaire as complete as possible. If it is not clear what information we’re asking for, do not hesitate the receptionist or the practitioner. All submitted personal health information is subject to medical secrecy and the Dutch privacy regulations.