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GENERAL DENTISTRY INFORMED CONSENT Patient Name: 1. WORK TO BE DONE: I understand that I am having the following work done: Rays, Exam, Fillings, Crowns, Bridges, Extractions, Root Canal, Dentures,
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Start by gathering all necessary information such as personal details, insurance information, and medical history.
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Dental Arts of Coronado is a dental practice that offers a range of services, including preventive, cosmetic, and restorative dentistry, tailored to the needs of patients in the Coronado area.
Patients receiving services from Dental Arts of Coronado may be required to file insurance claims or other dental forms depending on their coverage and the services provided.
To fill out the necessary forms for Dental Arts of Coronado, patients should provide personal information, insurance details, and a description of the services received, as prompted on the form.
The purpose of Dental Arts of Coronado is to provide high-quality dental care and improve oral health for patients while ensuring a comfortable and welcoming environment.
The information that must be reported includes patient identification details, treatment received, dates of service, and any relevant insurance information.
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