14495 S. Bascom Avenue 
   Los Gatos CA 95032
   Tel. (408) 377-8302 

Esthetic and Family Dentistry
Dr. Swanson & Dr. Negari
Feel free to call us  


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  Dr. Swanson
  Dr. Negari
 

 

   Medical History Form 


 
   

Welcome to the Medical History form page.  

Downloading and printing the medical history form at home is convenient and easy. We have placed the form online to save you time and make it easier to collect the information.

  Instructions

  Download the PDF form online and print it at home. Collect the information at home and fill out the form at your convenience. Click here to get started. A new window will open. Be sure to print the form when you're finished.

(don't forget to bring it with you when you come to see us)