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INFORMED CONSENT FOR THE TREATMENT OF SLEEP DISORDERED BREATHING WITH ORAL APPLIANCES PATIENT NAME: PATIENT DOB: WORKING DIAGNOSIS: Obstructive Sleep Apnea (327.23) NECESSITY FOR TREATMENT: Medical

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To fill out informed consent for Proact, follow these steps:

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- Review the informed consent form thoroughly to understand the content and purpose.

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- Provide accurate personal information as required in the form.

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- Read and understand the risks and benefits associated with participating in Proact.

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- Raise any questions or concerns you may have about the informed consent form with the responsible party.

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- Sign and date the informed consent form to indicate your willingness to participate.

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- Keep a copy of the signed informed consent form for your records.

Who needs informed consent - proact?

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Anyone who wishes to participate in Proact is required to provide informed consent. This includes individuals who meet the eligibility criteria set by Proact and are willing to voluntarily participate.

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What is informed consent - proact?

Informed consent - proact is a process in which a participant in a research study voluntarily confirms their willingness to participate after being informed of all aspects of the study.

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The researchers or sponsors conducting the research study are required to file informed consent - proact.

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Informed consent - proact should be filled out by providing all necessary information about the study, risks and benefits, and ensuring the participant's understanding before they sign the document.

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The purpose of informed consent - proact is to protect the rights and well-being of research participants by ensuring they have all the necessary information to make an informed decision about participating.

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Informed consent - proact should include details about the study objectives, procedures, risks and benefits, confidentiality, voluntariness, and contact information for further questions.

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