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Legacy Endodontics Wade R. Hirschman DDS, MS Record of Discussion and Informed Consent for Nonsurgical Endodontic Treatment ___1. Root canal therapy is an attempt to save a tooth which otherwise may
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Step 1: Download the 'Consent for Non-Surgical Endodontic Treatment' PDF form
02
Step 2: Fill in the patient's name, date of birth, and contact information
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Step 3: Provide a detailed description of the proposed treatment plan
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Step 4: Explain the risks and benefits of the procedure
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Step 5: Have the patient or legal guardian sign and date the form to indicate consent

Who needs consent-for-non-surgical-endodontic-treatmentpdf?

01
Patients who are scheduled to undergo non-surgical endodontic treatment
02
Patients who want to ensure they have given informed consent for the procedure
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It is a form used to obtain consent for non-surgical endodontic treatment.
The patient receiving the non-surgical endodontic treatment is required to file the consent form.
The form must be signed by the patient or their legal guardian and include all relevant information about the treatment.
The purpose of the form is to ensure that the patient understands and agrees to the proposed endodontic treatment.
The form should include details such as the nature of the treatment, potential risks, benefits, and alternatives, as well as any associated costs.
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