Existing Patient Records update

Dr. Christa Engelbrecht Dental

 

Existing Patient Records update

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  • Please note changes to medical aid or person responsible for account here.
  • Please note changes to history, any hospitalisation, medications taken and allergies
  • I hereby certify the information on the Patient Information Form to be true and correct to the best of my knowledge. I will notify Dr Christa Engelbrecht Dental in the event of any changes in my health status or any changes in the above information.

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