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Aristate Center for Implant & Cosmetic Dentistry, PC Ira Goldberg, DDS, FAGDChristopher N. Etta, DMD15 Vernon Avenue, Suite 101 Hamburg, NJ 07419 www.valleydentalassoc.com Tel: (973) 2096252 Fax:
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How to fill out whitening informed consent

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How to fill out whitening informed consent

01
Begin by providing the patient with a copy of the whitening informed consent form.
02
Explain to the patient the purpose and risks associated with the whitening procedure.
03
Ensure that the patient understands the potential benefits and limitations of the whitening treatment.
04
Have the patient read and review the consent form thoroughly.
05
Address any questions or concerns the patient may have regarding the procedure.
06
Ask the patient to sign and date the consent form, indicating their agreement and understanding.
07
Make a copy of the signed consent form for both the patient and the dental practice's records.

Who needs whitening informed consent?

01
Anyone who wishes to undergo a teeth whitening procedure should fill out a whitening informed consent form.
02
This includes patients who are seeking professional teeth whitening services, either at a dental office or a specialized whitening clinic.
03
The consent form ensures that the patient is well-informed about the procedure and its potential risks.
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Whitening informed consent is a document that outlines the risks and benefits of tooth whitening procedure, and ensures that the patient understands and agrees to undergo the treatment.
Dentists or dental professionals who perform tooth whitening procedures are required to have their patients fill out and sign whitening informed consent.
Patients are required to read the document carefully, understand the risks and benefits, and sign the consent form to indicate their agreement to undergo the tooth whitening procedure.
The purpose of whitening informed consent is to ensure that patients are fully informed about the risks and benefits of the tooth whitening procedure, and to protect both the patient and the dentist legally.
Whitening informed consent must include information about the possible side effects of the procedure, the expected results, and any alternative treatments available.
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