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Demo Producto |

Pleasure

beer

Mashed potatoes

Discover your new favorite beer, where every sip becomes a moment to savor, indulging in a symphony of flavors that will leave a lasting impression.

moments

for

Crafted

Elevate your experiences with our thoughtfully crafted brews, tailored to create unforgettable memories.

Repeat

enjoy

Indulge

Let Sunshine Craft Beer Transport You to a Realm of Taste and Pleasure

Innovation

and

tradition

Embrace the perfect blend of heritage and forward-thinking to savor unrivaled taste and craftsmanship.

made with allincard

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Clinic history

Name

Birthdate

Age

Sex

Height

Weight

Home address

Telephone | Cell phone

Main Reason for Consultation

Identification document

Acceptance

I have read the medical history and I am going to respond with complete clarity without omitting any illness that I suffer from.

Reason why I visit the dental office

Has presented complications.

Yeah No

If you have suffered, indicate which

Are you currently being treated by a doctor?

Yeah No

If this is your case, indicate for what disease?

Are you taking any type of medication?

Yeah No

If this is your case, indicate which ones and with what dose?

Are you allergic to a medication?

Yeah No

If this is your case, indicate which ones and with what dose?

Expectations of your treatment in the case of being aesthetic:

Whiter tooth color Bigger teeth Smaller teeth

In the following list of diseases, please mark YES or NO, you have suffered from any. If your answer is affirmative, please describe the treatment received.

Epilepsy or Seizures

Yeah No

Treatment

Anemia

Yeah No

Treatment

Diabetes

Yeah No

Treatment

Hepatitis

Yeah No

Treatment

Hyper or Hypothyroidism

Yeah No

Treatment

Arterial hypertension

Yeah No

Treatment

Angina pectoris

Yeah No

Treatment

myocardial infarction

Yeah No

Treatment

Asthma

Yeah No

Treatment

Tuberculosis

Yeah No

Treatment

Renal insufficiency

Yeah No

Treatment

Venereal diseases

Yeah No

Treatment

HIV/AIDS

Yeah No

Treatment

Gastritis

Yeah No

Treatment

Pregnancy

Yeah No

Treatment

Menopause

Yeah No

Treatment

Cancer

Yeah No

Treatment

Others

Yeah No

Treatment

Extra oral clinical examination

Head

Expensive

ATM

Ganglia

Lips

Particular signs

Observations

Descargar Historía clinica

Download the contact of one of our advisors

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YOUR VIRTUAL ADMON

Jeimy Pinto

Valencia Edo. Carabobo

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SCAN QR

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SCAN QR

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SCAN QR

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SCAN QR

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MtorYonto dortortand

MTONTOgANDR

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SCAN

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"Thand QeitherwandrFandm yeseithermeitheryes teitherdtoyes"

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ORnYoqorand grandandn gleitherbtol

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J.EITHERYesAND YesTTOORdANDR

MTONTOgANDR

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YesEITHERFYoTO YesTTOORdANDR

MTONTOgANDR

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Contact information

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H.O.
THE

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H.O.
THE

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H.O.
THE

Contact information

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Contact

card

Jenifer parra ziba renuwal studio Miami estetica

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Contact

card

A digital card is the electronic version of the traditional business card.

Unlike the paper card, the digital card is shared quickly and easily through different digital platforms such as email, WhatsApp, LinkedIn, among others.