Dental note template
Routine examination note
- Routine examination. Patient reports no new concerns.
The visit type and patient’s reason for attending.
- Medical history reviewed.
A dedicated place for the history discussed.
- Mild lower anterior plaque noted.
The finding and its location, together.
- Home care discussed with the patient.
The main topics covered during the visit.
- Next visit arranged.
The agreed next step, easy to find.
Copy the outline and add your visit details.
Date: [Encounter date]
Patient: [Patient identifier]
Clinician: [Clinician name]
- Reason for visit
- [Visit purpose and concerns reported by the patient]
- History reviewed
- [Relevant history reviewed and updates reported]
- Examination findings
- [Your examination findings, with tooth or site where relevant]
- Discussion
- [Topics discussed, advice given, and patient questions]
- Next steps
- [Agreed next steps and follow-up timing]
No account needed to copy these templates.


