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Informed Consent

Document discussions and reduce liability risks.

Informed consent is more than just a form. It’s a dialogue between you and your patient about treatment risks, benefits, alternatives and likelihood of success. Use these multilingual forms to support documenting those dialogues. 

  • Downloadable forms - your policyholder benefit
  • 16 common dental procedures
  • 10 different languages
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All Consent Forms by Language (zip file)

Download the full set of discussion and informed consent forms by language

Informed Consent English Apicoectomy Bone Graft Crown and Bridge Dentures Endodontic (root canal) Extractions Fillings Gingival Graft Implants Inlay(s)/Onlay(s) Mouthguard (Custom Fitted) Orthodontic Periodontal Veneers Whitening Other

Anesthesia

Discussion and informed consent form for anesthesia/sedation

Informed Consent Chinese English Hmong Japanese Korean Russian Spanish Tagalog Traditional Chinese Vietnamese Other

Apicoectomy

Discussion and informed consent form for an apicoectomy

Informed Consent Chinese English Japanese Korean Russian Spanish Tagalog Traditional Chinese Vietnamese Apicoectomy

Bone Graft

Discussion and informed consent form for bone grafting and/or regeneration

Informed Consent Chinese English Hmong Japanese Korean Russian Spanish Tagalog Traditional Chinese Vietnamese Bone Graft

Child Protective Stabilization

Discussion and informed consent form for use of child protective stabilization

Informed Consent English Other

Crown and Bridge

Discussion and informed consent form for crowns and bridge procedures

Informed Consent Chinese English Japanese Korean Russian Spanish Tagalog Traditional Chinese Vietnamese Crown and Bridge

Dentures

Discussion and informed consent form for dentures

Informed Consent Chinese English Hmong Japanese Korean Russian Spanish Tagalog Traditional Chinese Vietnamese Dentures

Endodontic Re-treatment

Discussion and informed consent form for endodontic (root canal) re-treatment

Informed Consent Chinese English Japanese Korean Russian Spanish Tagalog Traditional Chinese Vietnamese Endodontic (root canal)

Endodontic Treatment

Discussion and informed consent form for endodontic (root canal) treatment

Informed Consent Chinese English Japanese Korean Russian Spanish Tagalog Traditional Chinese Vietnamese Endodontic (root canal)

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