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GENERAL DENTAL PROCEDURAL CONSENT AND FINANCIAL POLICY We welcome and value you as part of our dental practice. In order to avoid confusion regarding our financial and insurance policies; please review
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How to fill out general dental procedural consent

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How to fill out general dental procedural consent

01
Begin by reviewing the general dental procedural consent form provided by your dentist.
02
Read each section of the consent form carefully to understand the details of the procedure and any associated risks.
03
Fill in your personal information, including your full name, address, phone number, and date of birth.
04
If applicable, provide the name and contact information of your emergency contact person.
05
Review and indicate your understanding of the procedure by signing and dating the consent form.
06
If you have any questions or concerns about the procedure or the consent form, don't hesitate to ask your dentist or dental staff for clarification before signing.
07
Keep a copy of the signed consent form for your records.

Who needs general dental procedural consent?

01
Anyone who is planning to undergo a general dental procedure needs to fill out a general dental procedural consent form.
02
This includes patients who require minor dental treatments such as fillings or cleanings, as well as those undergoing more extensive procedures like extractions or root canals.
03
Minors who are unable to provide informed consent will have their parent or legal guardian fill out the form on their behalf.
04
The consent form ensures that the patient is fully informed about the procedure and acknowledges any potential risks or complications before it is performed.
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General dental procedural consent is a document that provides permission from the patient to undergo a specific dental procedure.
Dentists or dental professionals are required to file general dental procedural consent before performing any dental procedure.
General dental procedural consent can be filled out by providing the necessary information such as the patient's name, procedure to be performed, risks involved, and obtaining the patient's signature.
The purpose of general dental procedural consent is to ensure that the patient understands the procedure, risks involved, and gives their informed consent before undergoing any dental treatment.
Information such as patient's name, procedure to be performed, risks involved, and patient's signature must be reported on general dental procedural consent.
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