hungarian dental travel

Medical Questionnaire

When you undertake dental treatment at any clinic where you have not been a patient before, you will be asked to fill out a medical questionnaire. This will be familiar if you have ever had dental treatment. Our clinics are no different.

It is important, however, before you travel, to familiarise yourself with the types of questions that you will be asked. Nobody wants to travel hundreds or thousands of miles for treatment only to find out that there is a medical issue that should have been taken into account.

Don’t assume that a current or past medical problem, medicine you are taking, or treatment you have had is not relevant. Always let the dentist know before you travel. Far better provide too much information than not enough!

Don’t be caught out by any surprises. Take a look below at the questions you will be asked by your dental surgeon, and if there is anything of concern, let us know before you travel so that the dentist can take this into account from the beginning.

This is not exactly the same as the medical questionnaire you will be ask to fill in when you arrive at one of the dental clinics – each clinic has their own procedure.

Medical History

Have you ever been hospitalised for any illnesses or operations?

_______________________________________

Are you being treated for any medical condition at the present or have you been treated within the past year?
Yes ☐
No ☐

Not Sure ☐

If so, please supply more details about your treatment:
_______________________________________

When was your last medical check-up?

_______________________________________

Has there been any change in your health in the past year?

Yes ☐
No ☐

Not Sure ☐

Are you taking any medications, non-prescription drugs or herbal supplements of any kind? If yes, please list.
_______________________________________

Are you allergic to any medicines?

_______________________________________

Are you allergic to latex or any rubber products?

_______________________________________

Please list any other allergies such as food allergies or hayfever:

_______________________________________

Have you ever had a peculiar or adverse reaction to any medicines or injections?
Yes ☐
No ☐

Not Sure ☐

If yes, please explain:

_______________________________________

Do you have or have you ever had asthma?

Yes ☐
No ☐

Not Sure ☐

Do you have or have you ever had any heart or blood pressure problems?

Yes ☐
No ☐

Not Sure ☐

Have you ever had any kind of heart problem or operation?

Yes ☐
No ☐

Not Sure ☐

Do you have a prosthetic or artificial joint?

Yes ☐
No ☐

Not Sure ☐

Do you have any conditions or therapies that could affect your immune system, (i.e. leukemia, AIDS, HIV infection, radiotherapy, chemotherapy)?

Yes ☐
No ☐

Not Sure ☐

Have you ever had hepatitis, jaundice (other than at birth) or liver disease?

Yes ☐
No ☐

Not Sure ☐

Do you have a bleeding problem or a bleeding disorder?

_______________________________________

Have you ever been hospitalised for any illnesses or operations?

_______________________________________

Do you have or have you ever had any of the following? Please check all that apply:

Chest Pain or Angina ☐
Shortness of Breath ☐
Heart Attack ☐
Rheumatic Fever ☐
Heart Murmur ☐
Pacemaker ☐
Lung Disease ☐
Tuberculosis ☐
Cancer ☐
Steroid Therapy ☐
Diabetes ☐
Stomach Ulcers ☐
Arthritis ☐
Epilepsy ☐
Seizures ☐
Kidney Disease ☐
Thyroid Disease ☐
Osteoporosis ☐
Organ Transplant ☐
Mitral Valve Prolapse ☐
Alcohol or Drug Dependency ☐

Are there any conditions or diseases not listed above that you have or have had? If so, what?

_______________________________________

Are there any diseases or medical problems that run in your family?(e.g. diabetes, cancer or heart disease)?

_______________________________________

Do you smoke or chew tobacco products?

Yes ☐
No ☐
Not Sure ☐
How Many Per Day? ____
How Many Years? ____

For Women of Child Bearing Age

Are You Pregnant?

Yes ☐
No ☐
Not Sure ☐
If Yes, Expected Delivery Date: _______________

Are You Breast Feeding?

Yes ☐
No ☐

Are you taking birth control medication?

Yes ☐
No ☐

Hungarian Dental Travel has been helping patients find the best possible treatment in Hungary since 2004. Now part of Hand Picked Clinics, we are expanding our country coverage with the aim of helping more people from all over the globe.

We can introduce you to some of the best dental clinics in Hungary (and beyond). We know the ins and outs of travelling abroad for treatment. We are not tied to one clinic and we are not dentists, just normal humans.

Every treatment plan is as individual as you are. You will get world class treatment at an affordable price. Our dentists are skilled at designing solutions that both save you money and focus on your long term oral health.

Send us a short message outlining what you want to acheive - restore your self-esteem, a perfect smile, being able to chew properly, your objective will be our aim as we do our best to guide you through.

We have hand picked a small number of clinics in Hungary with some of the best dentists and dental surgeons around.

We only gather the information we have to in order to provide the service we offer and we only share that information with the dentists in our selected clinics. Simple.

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