Medical History Form

Please ensure you answer all of the questions in the below section:

GDPR guidelines require us to ensure that we keep your personal data safe and handle it responsibly. Here at Just Orthodontics we take these guidelines very seriously and have strict policies in place for this. We only keep information that is directly relevant to you and to your care. All data is stored securely in a digital format. We keep treatment records indefinitely - as you, or we, may need to refer back to them in the future. You are entitled to request copies of the records we hold about you and your treatment. You are also entitled to request that we make corrections to any errors in the data that we hold about you.

By clicking 'send' you are consenting to us replying, and storing your details. (see our privacy policy).