We take the health of our patients very seriously. Consequently, we need to ask you for very detailed information on your general health before you attend LCIAD Face.

This form will take around 20 minutes to complete and has been developed over many years of experience. (You can start the form and return to it later to complete.)

Please complete the questionnaire as thoroughly as possible to ensure that we are able to give you the best possible care. This form will only need to be completed once and will be stored securely for future editing as you attend the practice in the future.

We thank you for your time and patience and look forward to meeting you at your consultation.


LCIAD DENTAL LCIAD ACADEMY LCIAD FACE