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CONSENT FOR DENTAL TREATMENT OF MINORS IN ABSENCE OF PARENT/LEGAL GUARDIAN (Please fill out one form per child) I, ___, give Lauri ch Dentistry permission to treat my child, ___, Parent/ Guardian

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How to fill out consent for dental treatment

01

Obtain the consent form from the dental office.

02

Read the form carefully and make sure you understand all the information provided.

03

Fill out all the required fields on the form, including your personal information such as name, address, and contact details.

04

Provide details about the specific dental treatment that you are consenting to, including the procedure name and any potential risks or complications.

05

Sign and date the form to indicate your consent for the treatment.

06

If the patient is a minor, a parent or legal guardian must also sign the consent form.

Who needs consent for dental treatment?

01

Anyone receiving dental treatment, regardless of age, needs to provide consent for the treatment.

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What is consent for dental treatment?

Consent for dental treatment is the agreement given by a patient or their legal guardian to undergo proposed dental procedures.

Who is required to file consent for dental treatment?

The patient or their legal guardian is required to file consent for dental treatment.

How to fill out consent for dental treatment?

Consent for dental treatment can be filled out by providing personal information, signature, and date.

What is the purpose of consent for dental treatment?

The purpose of consent for dental treatment is to ensure that the patient is aware of the proposed dental procedures and agrees to undergo them.

What information must be reported on consent for dental treatment?

The consent for dental treatment must include the patient's name, the specific dental procedures to be performed, any potential risks or side effects, and the consent signature.

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