Consent Forms

INFORMED CONSENT FOR ROOT CANAL THERAPY

CONSENTIMIENTO INFORMADO: Tratamiento Endodóntico (canal de la raíz)

INFORMED CONSENT FOR IMPLANTS

CONSENTIMIENTO INFORMADO PARA IMPLANTES

Delivery

Delivery- Spanish

Extraction of tooth which can be saved consent form

Extraction of tooth which can be saved consent form-Spanish

INFORMED CONSENT For Restorations, Crowns, and Bridges

INFORMED CONSENT For Restorations, Crowns, and Bridges- Spanish

INFORMED CONSENT FOR Partial and/or Dentures

INFORMED CONSENT For Partial and/or Dentures- Spanish

INFORMED CONSENT FOR ORAL SURGERY AND ANESTHESIA
CONSENTIMIENTO INFORMADO PARA CIRUGÍA ORAL Y ANESTESIA
Medical History
Historial médico
Office Policy
políticas de oficina
Financial Policy
Política financiera
Patient Information
Información del paciente
Teledentistry – Electronic Consultation
HIPAA Notice of Privacy Practices – Spanish
HIPAA Notice of Privacy Practices

Prophylaxis, Gross Scale & Deep Scaling (Cleaning)

Prophylaxis, Gross Scale & Deep Scaling (cleaning) – Spanish

Informed consent for Whitening/Bleaching Treatment

Informed consent for Whitening/ Bleaching Treatment – Spanish

INFORMED CONSENT Inhalation Sedation (Nitrous Oxide-Oxygen)

INFORMED CONSENT Inhalation sedation (nitrous oxide-oxygen)- Spanish

Tooth extraction

Tooth Extraction- Spanish

INFORMED REFUSAL OF TREATMENT

INFORMED REFUSAL: Periodontal scaling and root planning

INFORMED REFUSAL: Periodontal scaling and root planning- SPANISH

Medical History Update

Medical History Update-Spanish

Informed refusal of treatment-spanish

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