AF-FORMS.COM – AF Form 696 – Dental Patient Medical History – AF Form 696 is a document that is used to collect medical information about a dental patient. This form can be used to collect information about the patient’s general health, any previous dental treatments, and any current medical conditions. The form can also be used to gather information about any medications that the patient is taking.
Download AF Form 696 – Dental Patient Medical History
| Form Number | AF Form 696 |
| Form Title | Dental Patient Medical History |
| Edition Date | 2/18/2020 |
| File Size | 278 KB |
What is an AF Form 696?
The AF Form 696 is a medical history form used by dental clinics in the United States Air Force. This form serves as a record of the patient’s past and current medical conditions as well as any medications that they are currently taking. It is an essential tool for dentists to provide safe and effective treatment to their patients.
The information provided on the AF Form 696 includes the patient’s name, date of birth, social security number, and contact information. The form also asks questions about allergies, current medications, past surgeries or hospitalizations, previous dental work done, family medical history, tobacco use, and lifestyle habits such as alcohol consumption or drug use.
Completing this form accurately is vital for patients’ safety during clinical appointments. Dentists need to understand their patients’ medical histories clearly before beginning dental procedures to ensure that appropriate precautions are taken if necessary. The completion of this form allows dentists to provide better care while minimizing any potential risks associated with certain treatments.
Where Can I Find an AF Form 696?
If you are a new patient at an Air Force dental clinic, you may be required to fill out an AF Form 696. This form is used to collect your medical history and helps the dental staff provide appropriate care for you. While it may seem like a hassle to fill out yet another form, it is important to provide accurate information as it can affect your treatment.
So where can you find this form? The easiest way is to simply ask for it at the front desk of the dental clinic. Most clinics will have copies readily available for patients to fill out. If you prefer, you may also be able to download a copy of the AF Form 696 from official military websites or by doing an online search.
Once you have filled out the form, make sure that all of the information provided is accurate and up-to-date. Your dental health is important and providing complete and honest information on this form will help ensure that you receive proper care from your dentist.
AF Form 696 – Dental Patient Medical History
AF Form 696 is a medical history form for dental patients in the military. The purpose of this form is to gather information about the patient’s medical history, including any conditions and medications that could affect dental treatment. It also includes sections for allergies and emergency contact information.
It is important for patients to complete the AF Form 696 accurately and honestly to ensure that their dentist has a clear understanding of their medical background before performing any procedures. This helps prevent potential complications and ensures that patients receive safe and effective treatment. Patients should also inform their dentist of any changes to their medical history or medication use since filling out the form.
Overall, completing an accurate AF Form 696 is essential for ensuring proper dental care in the military. By providing comprehensive information about their medical history, patients can help their dentist make informed decisions about treatment plans while minimizing risks and maximizing positive outcomes.
AF Form 696 Example
