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What Is The Appointment Status Of This Patient?
Appointment Scheduled Contact Patient to Schedule Appointment Patient Will Contact The Office To Schedule
If Scheduled, What Date Is Their Appointment?
Please Evaluate This Patient For:
Pocketing Bone Loss Gingival Recession / Mucogingival Defect Gingival Bleeding / Hyperplasia Gingival Bleeding / Hyperplasia Crown Lengthening Dental Implants Gummy Smile / Short Teeth Frenectomy / Fiberotomy Extraction with Ridge Preservation Other
Do you wake up with a dry mouth or sore throat?
Yes No