Medical History
Comprehensive medical history documentation is critical for safe dental treatment. MyDentalPractice provides structured forms to capture, update, and review patient medical data.
Accessing Medical History
Open a patient record from Patients → All PatientsClick the Medical History tab in the patient profileYou will see sections for general health, dental history, and clinical notesGeneral Health Section
Allergies
Click + Add Allergy to record each known allergy:
Allergen — The substance (e.g., Penicillin, Latex, Lidocaine)Severity — Mild, Moderate, or SevereReaction Type — Rash, Swelling, Anaphylaxis, etc.Notes — Additional details about the reactionAllergies marked as Severe are highlighted in red across the application — on the appointment card, in the treatment view, and on prescriptions.
Medical Conditions
Toggle conditions from the pre-built checklist:
Diabetes (Type 1 or Type 2)HypertensionHeart diseaseAsthmaBleeding disordersHepatitis (A, B, or C)HIV/AIDSEpilepsyPregnancy (current)Other — free-text field for conditions not listedCurrent Medications
For each medication, record:
Medication Name — Brand or generic nameDosage — Amount and frequency (e.g., "500mg twice daily")Prescribing Doctor — Who prescribed itStart Date — When the patient started taking itDental History Section
Previous Treatments
Record the patient's prior dental work:
Fillings (amalgam, composite, ceramic)Extractions — which teeth and approximate datesRoot canal treatmentsCrowns, bridges, or denturesOrthodontic treatment historyImplantsDental Habits
Document relevant habits:
Brushing frequency (once, twice, or more daily)Flossing frequencyTobacco use (smoking, chewing)Alcohol consumptionBruxism (teeth grinding)Thumb sucking (pediatric patients)Clinical Notes
Each visit generates a clinical note. To add a note:
Open the patient's Medical History tabClick + Add Clinical NoteSelect the date and the treating dentistEnter findings, diagnosis, and treatment performedClick Save NoteClinical notes are displayed in reverse chronological order, giving the most recent information first.
Medical History Consent
MyDentalPractice includes a digital consent form template. Under Settings → Templates, you can customize the medical history consent form that patients sign during registration.
Exporting Medical History
To export a patient's complete medical history:
Open the patient profileClick the Export button (top right)Select Medical History PDFThe system generates a formatted PDF with all recorded dataThis is useful for referrals to specialists or when a patient requests their records.
For uploading supporting documents like X-rays, see Document Upload.