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Continuum Oral Health Check-In

This short check-in helps us understand your oral health before your appointment. It takes about 3 minutes. Your answers are confidential and will be reviewed by Dr Sandhya Jaswal, Clinical Director.

Your name

Your email address

Your date of birth

Before we begin — three important questions. If any of the following apply to you right now, please stop and contact emergency services or Healthdirect before continuing.

Do you have pain, aching, or throbbing in your teeth, gums, or jaw right now?

Do you have pain, aching, or throbbing in your teeth, gums, or jaw right now?
A
B

Do you have any swelling in your face, jaw, cheek, or neck?

Do you have any swelling in your face, jaw, cheek, or neck?
A
B

Are you having any difficulty swallowing or opening your mouth?

Are you having any difficulty swallowing or opening your mouth?
A
B