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Dental Consent Owner / Agent Patient Name PIPER HERITAGE VETERINARY CLINIC 3140 N. 99TH Street Kansas City, KS 66109 (913) 2990010 Dr. Corbin Hodges Dr. Richard D. Smith Dr. Jeremiah Bilges DENTAL

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How to fill out dental consent

01

Read the dental consent form carefully to understand its purpose and contents.

02

Provide your personal information such as name, address, and contact details.

03

Indicate the purpose of the dental procedure for which you are granting consent.

04

Understand the risks, benefits, and alternatives of the dental procedure.

05

If you have any questions or concerns, clarify them with your dentist before signing the consent form.

06

Sign and date the consent form in the designated areas.

07

Ensure you have a copy of the signed dental consent form for your records.

Who needs dental consent?

01

Anyone undergoing a dental procedure that requires the patient's informed consent needs dental consent.

02

This includes patients of all ages, from children to adults.

03

Both new patients and existing patients may be required to provide dental consent, depending on the procedure.

04

Dental consent is necessary for both routine procedures like cleanings and fillings, as well as more complex treatments like extractions or implants.

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What is dental consent?

Dental consent is the permission given by a patient to a dentist for a specific dental procedure.

Who is required to file dental consent?

Patients are required to give their consent to dentists before any dental procedure can be performed.

How to fill out dental consent?

Dental consent forms can be filled out by providing personal information, details of the procedure, possible risks, and signing the form.

What is the purpose of dental consent?

The purpose of dental consent is to ensure that patients are well informed about the procedure, risks, and alternatives before agreeing to treatment.

What information must be reported on dental consent?

Dental consent forms should include the patient's name, date of birth, procedure details, risks, benefits, and any alternatives.

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