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COVID19PandemicEmergencyandUrgentDentalTreatmentConsent Form Patient name: IunderstandthenovelcoronaviruscausesthediseaseknownasCOVID19. Iunderstandthenovel coronavirusvirushasalongincubationperiodduringwhichcarriersofthevirusmaynotshow
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Fill in your personal information accurately in the designated fields. This may include your full name, contact details, address, and date of birth.
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Provide any additional required information such as your medical history, current medications, and allergies.
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It is a form used to obtain consent from patients for COVID-19 related procedures or treatments.
Healthcare providers and institutions are required to file the form.
The form must be filled out by including patient information, details of the procedure or treatment, and obtaining the patient's signature.
The purpose is to ensure that patients are fully informed and give consent for COVID-19 related procedures or treatments.
Patient information, details of the procedure or treatment, and patient's consent signature must be reported.
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