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Dental Informed Consent Form Name of Patient: Patient is: Minor Adult Patient reads and writes English: Yes No Patient willingly signs this form: Yes No If patient is a Minor, his/her Parent or guardian
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What is dental informed consent form?
It is a legal document that outlines the risks and benefits of a dental procedure and ensures that the patient understands and agrees to the treatment.
Who is required to file dental informed consent form?
Dentists are required to have patients fill out and sign the dental informed consent form before any treatment.
How to fill out dental informed consent form?
Patients need to read the form carefully, ask any questions they may have, and sign the form to indicate their consent.
What is the purpose of dental informed consent form?
The purpose is to protect both the patient and the dentist by ensuring that the patient is fully informed about the procedure and its risks.
What information must be reported on dental informed consent form?
The form must include a description of the procedure, risks and benefits, alternative treatments, and the patient's signature.
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