Please fill in all questions to the best of your ability. At the end when you "Submit Patient Profile", you will receive an explanation as to how each of the medical factors affect the dental implants. These explanations are not absolute but only the best explanations based upon recent medical literature and the clinical experience of several leading implantologists.
* Patients Name, Age , Sex and Weight must be entered
* Patients Name, Age , Sex and Weight must be entered
© 2011-2017 Dr Harold Bergman. Revised: April 3, 2017
No reproduction, copying or resale allowed without the written permission of Dr Harold Bergman
CONFIDENTIAL
No reproduction, copying or resale allowed without the written permission of Dr Harold Bergman
CONFIDENTIAL