Financial PolicyInformed Consent Form for General Dental Procedures |
|
Your First VisitYour initial appointment will consist of an examination, evaluation and a consultation explaining your diagnosis and treatment options. Occasionally, treatment can be done the same day as the consultation. Normally, however, a second appointment will be required to begin your treatment plan. Prior to your dental exam, you will need to provide information that will assist us in developing a dental care treatment plan for you. You need to fill out/sign the following forms::
For your convenience, required forms are printable in multiple file formats. --------------------
-------------------- It is extremely important that you alert us to any medical condition for which you are currently under the care of a doctor. Please let us know of any existing medical conditions that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.) or require medication prior to dental cleanings (i.e. antibiotics, for pre-med).
|