Dr. Sharda Harvey - General Cosmetic and Implant Dentist
Ask a Dentist
For Weekly Oral Health Tips
Dr. Sharda Harvey - General Cosmetic and Implant Dentist
Ask a Dentist
For Weekly Oral Health Tips
Dr. Sharda Harvey - General Cosmetic and Implant Dentist
Ask a Dentist
For Weekly Oral Health Tips
Dr. Sharda Harvey - General Cosmetic and Implant Dentist
Ask a Dentist
For Weekly Oral Health Tips
Mon – Fri: 9 AM – 6 PM · Saturday by appointment request
Call Us: 212.697.1701
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121 East 60th Street, Suite 1B New York, NY 10022
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Medical History Update Form

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Are you allergic to any of the following (please check all that apply):

Have you ever had any of the following? Check every condition that applies. Leave items unchecked for No.

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Have you been admitted to a hospital or needed emergency care during the past year?
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Women: Are you pregnant now?
Do you take any birth control medication?

To the best of my knowledge, all of the preceding answers and information provided are true and correct. If I ever have any change in my health, I will inform the doctors at the next appointment without fail.

Upper East Dental InnovationsUpper East Dental Innovations
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Monday - Friday 9:00 AM - 6:00 PM · Saturday by appointment request
121 East 60th Street, Suite 1B, New York, NY 10022
info@uedi.nyc
About Us

At Upper East Dental Innovations, we provide personalized dental care supported by advanced technology, thoughtful service, and a commitment to healthy, confident smiles.