Spanish: Informed Consent for Extractions

1extractionsmpl30
In Spanish: - Comprehensive informed consent for all tooth extractions, including blanks for interpreter and dentist signature, as well as blanks to record blood pressure and pulse on date of extraction(s). Complies with TSBDE Rule 108.7 which requires that Texas dentists maintain a written informed consent signed by the patient, or a parent or legal guardian of the patient if the patient is a minor, or a legal guardian of the patient if the patient has been adjudicated incompetent to manage the patient's personal affairs. Such consent is required for all treatment plans and procedures where a reasonable possibility of complications from the treatment planned or a procedure exists, and such consent should disclose risks or hazards that could influence a reasonable person in making a decision to give or withhold consent.

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Spanish: Informed Consent for Extractions
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2007-2010 Boyd W. Shepherd, P.C.; Boyd W. Shepherd, D.D.S., J.D.; texdentlaw.com; legaldentalforms.com