DISCLAIMER: The Informed Consents listed below are for informational purposes only and do not constitute a legal opinion. They are provided as a service to our Members as a template for their private use, to be modified as the provider deems appropriate. Please call the Trust office with questions.
Informational Informed Consent Whitening Consent
Informational Purposes Only Cosmetic Treatment
Patient Information and Consent Form for Cosmetic Dentistry Cosmetic Reconstruction
Whitening Consent
Cosmetic Treatment including Bleaching, Whitening, Bonding, and Veneer
Crown and Veneer Cosmetic Consent
COVID Door Sign
COVID When scheduling
COVID-19 Consent Form 2
COVID-19 Consent Form for reopening
COVID-19 Door Sign Reopen
COVID-19 Treatment Consent
COVID-19 Pandemic Period
When scheduling during COVID-19
Denture Cosmetic Consent Agreement
Denture Service
Dentures and Partial Dentures
Final Approval for Denture Construction
Full Artificial Dentures and Partial Dentures
Immediate Complete Dentures and Partial Denture
Temporary Denture Agreement
Wax try in agreement
Apicoectomies
Endodontic Surgery
Endodontic Treatment
Endodontic Treatment 2
Endodontics
Root Canal Treatment - Your Next Steps
Root Canal Retreatment
Bisphosphonate Consent for Treatment
Occlusal Equilibration
Cosmetic Treatment including Bleaching, Whitening, Bonding and Veneer
Cracked Tooth
Financial Agreement
General Dentistry
Occlusal Sealants
Whitening Consent
A Realistic Approach to My Treatment
Dental Implant Surgery
Dental Implants
Implant Surgery
Maxillary Sinus Augmentation
Home Care Instructions After Laser Treatment
Laser Ablation New Attachment Procedure Laser ANAP
New Technology New Confort
Post LANAP Diet
Bisphosphonate
Maxillary Sinus Augmentation
Oral Biopsy
Oral Surgery
Oral Surgery Pediatric Patient
Informed Consent to Perform Oral Surgery
Oral Surgery and Dental Extractions
Post Operative Oral Surgery Instructions
Pre-operative Surgical Instructions
Functional Orthodontic Appliances
Invisalign
Orthodontic Treatment
Orthodontics Potential Risks and Limitations
Nitrous Oxide Pediatric Patient
Pediatric Informational Informed Consent
Occlusal Sealants
Pediatric Dentistry
Oral Surgery Pediatric Patient
Photograph Consent (child)
Periodontal Procedures Scaling and Root Planing Informed Consent
Periodontal Procedures Scaling and Root Planing Information
Laser Ablation New Attachment Procedure Laser ANAP
New Technology New Comfort
Periodontal Surgery
Periodontal Treatment Consent
Post LANAP Diet
Photograph Consent (child)
Photographic Waiver and Consent
Photography Release and Consent
Waiver and Consent
Cosmetic Treatment including Bleaching, Whitening, Bonding and Veneer Informed Consent
Consent to Occlusal Equilibration v2
Cracked tooth
Crown and Bridge Prosthetics
Crown and Veneer Cosmetic Consent
Patient Information and Consent Form for Cosmetic Dentistry Cosmetic Reconstruction
Removal of Crowns and Bridges
Root Canal Treatment - Your Next Steps
Dental Sedation
IV Conscious Sedation
Nitrous Oxide Analgesia
Nitrous Oxide
Nitrous Oxide Pediatric Patient
Escorting the Sedation Patient
I. V. Sedation Anesthesia
IV (Intravenous) Sedation Information and Consent Form
Minimal Sedation Log
Oral (Enteral) Sedation
Patient Information Prior to IV Sedation
Post Op Sedation and Restorative Instructions