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Whitening Consent Form
I understand that my professional whitening treatment cannot be guaranteed, as teeth whiten differently for each
individual depending on his or her genetic traits and types
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How to fill out whitening consent form

01
Start by carefully reading the whitening consent form. Ensure that you understand each section and any possible risks or side effects associated with the whitening procedure.
02
Fill out your personal information accurately in the designated spaces. This typically includes your full name, date of birth, contact information, and any relevant medical history that might impact the whitening procedure.
03
Provide informed consent by signing and dating the appropriate section of the form. This indicates that you have understood the risks and benefits of the whitening procedure and give your permission for it to be performed.
04
If you have any questions or concerns about the whitening procedure, it is important to communicate them with your dentist or dental professional before signing the consent form.
05
Keep in mind that the whitening consent form is usually necessary for anyone who wishes to undergo a teeth whitening procedure. This includes individuals who desire a brighter smile or want to address tooth discoloration caused by certain habits, medications, or natural aging processes.
06
Additionally, individuals with underlying dental conditions or previous dental work may still be required to fill out a whitening consent form. The dentist needs to assess if the whitening procedure is suitable for the patient's specific needs and oral health.
Remember, it is essential to consult with a dentist or dental professional before attempting any teeth whitening procedure. They can provide you with personalized advice and guidance, ensuring that the whitening process is safe and suitable for your particular dental situation.
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