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3 clinics in Kiev
in the central regions
from 9:00 to 21:00 seven days a week

Anamnestic questionnaire

Name
Date,month,year of birth
Contact phone
Place of residence
Profession
Please briefly deseribe your complaint
Have you visited your doctor (general practitioner,family doctor) for the past year?

Have you had any treatment lately?

Do you or were hospitalized for a long time?

Have you ever undergone surgery or radiotherapy?

Have you ever had chest pain,shortness of breath,heart rate during exercise?

Raising or lowering of blood pressure?

Do you have a congenital or acquired heart disease ?

Have you had surgery for the correction of heart deffect?

Do you have the following diseases: Bacterial endocarditis, Rheumatism, Mitral valve prolapse, Stenocardia, Cardiac infarction?

Is the prosthetic valve bioprosthesis,autotransplantant?

Are you doing a blood transfusion?

Do you have any allergy?

Have you had attacks of breathlessness, wheezing, bronchial asthma?

It is easy whether you have bruises, nosebleeds, bleeding during tooth extraction?

Are you taking regular aspirin or other nonsteroidal anti-inflammatory drugs?

Have you ever had problems with blood clotting?

Diseases of the stomach, intestine, gall bladder?

Hepatitis (A,B,C)?

Kidney disease,bladder,urinary tract?

Do you have an endocrine disease?

Do you have any blood diseas?

Do you often have head aches,earaches,pain in the cheek?

Have you ever had diseases of the paranasal sinuses?

Do you have a visual impairment,hearing?

Have you ever had convulsions, loss of consciousness, fainting?

Epilepsiya?

Have you ever had a head injury?

Have or have had pain in the joint when chewing or yawning?

Do you have any skin disease?

Have you ever had herpes?

Infectious diseases?

Cancer?

Do you smoke?

Is there any information about your medical condition, which may be important?

When did you visit the dentist last time?
Please wright where did you hear about our cliniс?

Avanto (Center) Dental Clinic

стоматология в киеве центр

1. By Metro – Palace Ukraine, walk to the side of Predslavynska St., left turn into Novopecherskyi Lane. The clinic is placed in Prestige Hall residential complex, the entrance is from the side of Vasyl Tyutyunnik St.
2. By car – you can get to the central entrance to the clinic from Ionna Pavla II St. (the former – Patrisa Lumumby St.), turn into Vasyl Tyutyunnik St.

Avanto (Podil) Dental Clinic

киев стоматология подольский район

1. By Metro – Kontraktova Ploshcha, walk on the street Kostiantynivska towards “Zhovten” cinema. The entrance to “cinematographic” arche.
2. By car – you can get to the central entrance of the clinic from Kostiantynivska St. through “cinematographic” arche. It is also possible to park a car in the parking lot near the square on the street Yaroslavska.

Avanto (Pechersk) Dental Clinic

киев стоматология печерский район

1. By Metro – Pecherska, walk on the street Lasya Ukrainka to the side of The Ivan Bohun Military High School. The building where the clinic is placed is located behind the CEC building and has a wave-shaped roof.
2. By car – the first arrival to the central entrance of the clinic is possible from Lesya Ukrainka St. behind The Ivan Bohun Military High School. Also it is possible to get there from the side of Staronavodnytska St., the turn is near the pointer of TSARSKY sport club. The building where the clinic is placed has a wave-shaped roof.