Health History Form

[vc_row full_width=”stretch_row” equal_height=”yes” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=””][vc_column width=”5/12″ hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1591113589208{background-image: url(https://sabariortho.com/wp-content/uploads/2020/06/meet_dr_sabari_interior.jpg?id=1890) !important;background-position: top left !important;background-repeat: no-repeat !important;background-size: cover !important;}” offset=”vc_hidden-xs”][/vc_column][vc_column width=”1/2″ offset=”vc_col-md-7 vc_col-sm-offset-0 vc_col-xs-offset-1 vc_col-xs-10″][trx_sc_content size=”1_2″ float=”left” shift_x=”large” number_position=”br” title_style=”default”][/trx_sc_content][/vc_column][/vc_row][vc_row full_width=”stretch_row_content_no_spaces” equal_height=”yes” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1590526809647{background-color: #f4f7f7 !important;}”][vc_column fix_column=”” shift_y=”tiny_negative” hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=”” css=”.vc_custom_1758128682228{background-image: url(http://prodent.ancorathemes.com/wp-content/uploads/2017/07/history_bg.jpg?id=524) !important;background-position: top center !important;background-repeat: no-repeat !important;background-size: cover !important;}”][trx_sc_content size=”80p” float=”center” number_position=”br” title_style=”default” shadowed=””][vc_empty_space alter_height=”huge” hide_on_desktop=”” hide_on_notebook=”” hide_on_tablet=”” hide_on_mobile=””][vc_row_inner gap=”30″ hide_bg_image_on_tablet=”” hide_bg_image_on_mobile=””][vc_column_inner][vc_column_text css=”” el_class=”blue_text_normal”]Please take a moment to complete your Medical History form before your consultation. This helps our team prepare for your visit and provide the best care possible. You can fill it out securely online using the link below.