Granta Dental Cookies Show more

We use cookies to give you the best website experience. If you continue without changing the settings, we'll assume you are happy to receive them.  You can change your cookie settings at any time.

Confidental medical history form

So we can treat you safely, we need certain information about you and your general health. Please answer all the questions on this form as accurately as you can. When we see you, we may ask you for further details about any questions you have answered 'yes' to.

We'll also follow up these issues at regular intervals so we're always updated about any changes in your general health. Of course, we'll keep all your information strictly confidential.  

Please fill out the form online and press submit when you have finished.         

Alternatively, to print this form, click on this link and print out the PDF version of the form. Then fill it in, and either bring it when you come for your next appointment, or send it to our postal address: Granta Dental, Newnham Road, Cambridge, CB3 9EY.

Identity information

Contact information

Medical information

Front desk 023

What is new at Granta Dental?

Granta Dental now offer Myofunctional Orthodontics - Pre-orthodontic treatment for children 5 -15 years. Simple, safe and effective early orthodontic care. Book an appointment today.

read more »


"The best hygiene that I have ever had, Neil really is a gentle giant".

"On many occasions I have left an examiniation with the distinct feeling of enlightenment -there are no secrets about Granta Dental treatment, only openess and clarity".

read more »
Copyright © 2017 Granta Dental Ltd. All rights reserved