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Forms in Spanish

The following ten (10) forms for informed consent are available in Spanish (please click form name below for more information)

Note: The forms in Spanish listed below ARE INCLUDED in the Annual Subscription AND THE All Informed Consent Forms Package!

 
1extractionsmpl30 Spanish: Informed Consent for Extractions
$15.00
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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1generalsmpl30 Spanish: General Dentistry Informed Consent
$15.00
In Spanish: - General Dentistry Informed Consent.
Includes blanks to fill in specific procedures to be performed. 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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2periosmpl30 Spanish: Informed Consent for Periodontics
$15.00
Comprehensive Informed Consent for Periodontics (in Spanish):
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.

 
2periosmpl30 Spanish: Informed Consent for Periodontal Cleaning
$15.00
In Spanish: Informed Consent for Periodontal Cleaning:
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.

 
1crownbridgesmpl30 Spanish: Informed Consent for Crown & Bridge
$15.00
Informed Consent for Crown & Bridge (in Spanish):
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.

 
1denturesmpl30 Spanish: Informed Consent for Dentures
$15.00
Informed Consent for Dentures (in Spanish):
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.

 
2endosample30 Spanish: Informed Consent for Endodontics
$15.00
Informed Consent for Endodontics (in Spanish):
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.

 
2implants30 Spanish: Informed Consent for Implants
$15.00
Comprehensive informed consent for implants, including blanks to record blood pressure and pulse on date of procedure (in Spanish):
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.

 
2orthoshort30 Spanish: Informed Consent for Orthodontics
$15.00
Informed Consent for Orthodontics (in Spanish):
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.

 
2localanesth30 Spanish: Informed Consent for Use of Local Anesthetic
$15.00
Informed Consent for Use of Local Anesthetic (in Spanish):
Includes blanks to record blood pressure and pulse. 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.

 
30binder1.JPG Forms in Spanish Package
$125.00
All ten (10) forms in Spanish, including informed consent for:
Implants, Crown & Bridge, Dentures, Endodontics
Extractions, General Dentistry, Local Anesthesia
Orthodontics, Periodontal Cleaning, Periodontics