Northland Prosthodontics Ltd Patient Medical Questionnaire.
A health questionnaire needs to be filled out before we can commence any treatment at Northland Prosthodontics.
Please click on the Medical Questionnaire below, complete and submit on line. If you are unable to submit please do not print the form, instead arrive 5 minutes prior to your appointed time to fill out the questionnaire with us. This format is approved by the New Zealand Dental Association.