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Dr. Gino Gizzarelli* BScPhm, DDS, MSc (Dental Anaesthesia)ANAESTHESIA for DENTISTRY (416) 8394777 Informed Consent for Dental Treatment under Sedation/General Anaesthesia (Child) THIS FORM MUST BE
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Read the informed consent form thoroughly to understand its contents.
02
Fill out the child's information accurately, including name, date of birth, and any other requested details.
03
Provide consent for the child to participate in the specified activity or program by signing and dating the form.
04
If there are any sections that require additional information or signatures, make sure to complete those as well.
05
Keep a copy of the completed informed consent form for your records.

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Parents or legal guardians of children who are participating in a program or activity that requires consent.
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It is a document that outlines the process of obtaining consent from a parent or guardian for a child to participate in a certain activity or research.
Any organization or individual overseeing activities involving children that require parental or guardian consent.
The document should be completed with specific details about the child, the activity or research, and must be signed by the parent or guardian.
The purpose is to ensure that parents or guardians are informed about and give permission for their child to participate in the designated activity or research.
Information such as the child's name, the nature of the activity or research, potential risks, benefits, and contact information for further inquiries.
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