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
“I would be happy to share with my colleagues that my participation in the Trust over the past 25 years has been a consistent source of security, comfort, predictability and stability for my dental practice. I rest a little easier knowing that the folks at the Trust have engineered a liability safety net that provides excellent protection for my practice and family assets. I cannot imagine practicing without this critical coverage.”
“I have participated in The Trust since their establishment in 1987, and value their competent, professional staff, their reasonable rates, and their sound business practices. They have built a wonderful reputation for serving and protecting Colorado dentists! Their coverage cannot be beat!”
“The DPLT has been invaluable in helping make everyday decisions in my practice. There are many fine line questions that arise every day during patient care, and they are always willing to listen and advise when appropriate. The other spectrum of DPLT is their unending help with other resources such as insurance coverage business and personal, patient handouts, credit card processing, and pretty much any other aspect of doing business. In short, if you aren't taking advantage of some of what DPLT has to offer, you are missing out.”
“The Trust is one of our state's most unique and beneficial resources for Colorado dentists and dental specialists. It offers exceptional value and excellent representation coupled with a very professional and knowledgeable staff who are always willing to offer advice and resources to ensure optimal risk management for our practices.”
"I brag to my friends in other states about the tremendous advantage Colorado dentists have with the Trust. I have more confidence knowing that a group of dentists are supporting me and looking out for my best interests and my practice. I'm assured knowing that I can call them anytime, with any question, and I'm able to talk to an actual practicing dentist. I feel like the Trust cares for me and my practice."
"Here’s my experience with The Dentists Professional Liability Trust as one of its defense attorneys: it exclusively uses seasoned dentists as claim professionals, so they know the dentistry, provide excellent assistance to legal counsel, and understand the emotional toll of having a patient sue, even though you’ve done your best. The Trust provides sound, honest advice to avoid or resolve conflicts; it arranges immediate legal help for insureds if complaints are made to the Colorado Dental Board; and if litigation is unavoidable, it lends thoughtful, steady support. It is a superior insurer."
"I have been working with the Trust for a total of 5 years. They have made it very easy to reach out for advice and are always protecting the dentist. They are a valuable resource and are consistently professional. The rates are very reasonable but more importantly, the resources and support you are getting by becoming a Member of the Trust is invaluable."
“It’s so nice to have a support system such as the Trust to help navigate through a situation. I greatly appreciate what you do to support dentists like myself throughout the entire state. Thank you, Thank you!"