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COMPLETE LIST OF FORMS
GENERAL INFORMED CONSENT
SPECIALTY CONSENT
PROPHYLAXIS & PHOTOGRAPHY
TREATMENT REFUSAL
PATIENT DISMISSAL, CLAIMS RELEASE
EMPLOYEES
ANNUAL FORMS PACKAGES
INFORMED CONSENT LAW
CONTACT
SECURE ORDERING
REQUEST A FORM
DISCLAIMER, LICENSE, & LIABILITY LIMITS
PATIENT EDUCATION, REGISTRATION
CONSCIOUS SEDATION FORMS
HIPAA COMPLIANCE
DENTAL OFFICE & EMPLOYEE MANUALS
EMERGENCY PROTOCOL
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SPECIALTY CONSENT
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Specialty Informed Consent:
Consent for Endodontics
$10.00
Informed Consent for Endodontics:
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for Bone Regeneration Procedures
$10.00
ldf.com bonreg
Informed Consent for Bone Regeneration Procedures: Includes blanks to record blood pressure and pulse on date of procedure.
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for Prosthodontics - Long Form
$10.00
ldf.com prsth
Informed Consent for Prosthodontics - Long Form: Comprehensive
7-page
form.
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for Implants
$10.00
ldf.com impls
Comprehensive informed consent for implants, including blanks to record blood pressure and pulse on date of procedure.
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for Implants & Anesthesia - Long Form
$10.00
ldf.com implong
Informed Consent for Implants & Anesthesia - Long Form
- 3-page comprehensive informed consent for implants, including blanks to record blood pressure and pulse on date of procedure. Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for Orthodontics - Long Form
$10.00
ldf.com orthlng
Informed Consent for Orthodontics - Long Form: Comprehensive 2-page form.
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for Orthodontics - Short Form
$10.00
ldf.com orthshrt
Informed Consent for Orthodontics - Short Form: Comprehensive 1-page form.
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for Periodontics
$10.00
ldf.com perio
Comprehensive Informed Consent for Periodontics:
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for I.V. Sedation
$10.00
ldf.com ivsed
Consent for I.V. Sedation: Includes blanks to record blood pressure and pulse on date of sedation procedure.
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.
Consent for Teeth Whitening
$10.00
ldf.com white
Informed Consent for Teeth Whitening: Comprehensive 4-page form.
Discloses the risks or hazards that could influence a reasonable person in making a decision to give or withhold consent for treatment, addresses patient expectations, and treatment alternatives.