Your Health History

Dental ChartKeep Us Informed of Any Changes!

If it’s been a little while since your last appointment, then don’t forget to update your health history. Your dental care is part of your total health-care package. Have you:

  • experienced any new allergies or sensitivities?
  • quit smoking (or started)?
  • begun taking new medications, even over-the-counter drugs?
  • had any accidents or injuries?
  • been diagnosed with any illness or other medical condition?
  • experienced dry mouth?
  • had a baby?

Your answers help to determine how we treat your mouth. In turn, we’ll alert you to any possible medical problems indicated by the appearance of your tongue and gums.

We encourage you to make at least two dental appointments every year, especially if you don’t get annual physical exams. Let’s keep your teeth—and the rest of you—in great shape.

About Dr. Chase & Dr. Kotula

Dr. Steven Chase, DDS & Jacqueline Kotula, DDS pride themselves on offering their patients the most comprehensive and sophisticated options for dental care in a comfortable and friendly environment. Their caring and talented dental family’s first priority is the well being of their patients. They strive to help their patients achieve optimum dental health by providing personalized and compassionate dental care. Their team is comprised of highly skilled professionals dedicated to excellence in every phase of dental treatment. They are committed to continued education, which enables delivery of the very finest, state-of-the-art cosmetic, restorative, and CEREC® same-day dentistry, along with Invisalign® clear aligners.

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