Teeth Whitening Consent Form

Teeth Whitening Consent Form - This informed consent form I have the right to ask questions about any procedure before agreeing to undergo the procedure My dentist has informed me that there is a level of discoloration present on my teeth this discoloration could be treated via in office whitening take home whitening or both

Consent form I have the right to ask questions about any procedure before agreeing to undergo the procedure My dentist has informed me that my teeth are discolored and could be treated by in office whitening also known as

Teeth Whitening Consent Form

Teeth Whitening Consent Form

whitening (also known as “bleaching”) of my teeth. This information has been given to me so that I can make an informed decision about having my teeth whitened. I may take as much time as I wish to make my decision about signing this informed consent form. I …

INTRODUCTION This information has been given with the intention that you can make an informed decision about having your teeth whitened using the Boutique Whitening system There is no time limit by which you must make a decision to have this treatment done and sign and return this form

CONSENT FORM BOOST WHITENING Immediate Results

RISKS OF CONSENT FOR TREATMENT understand that some of the potential complications of this treatment include but are not limited to Tooth Sensitivity Pain During the first 24 hours after the whitening treatment some patients can experience some tooth sensitivity or pain This is normal and is usually mild but it can be worse in

Enlighten Teeth Whitening Consent Form Form Resume Examples rykgNQoOwn

should take as much time as you wish to make the decision in relation signing the following consent form You are encouraged to ask any questions and have the answers to your satisfaction before you give permission for the whitening Home Tooth Whitening Your dentist will take an impression mould of your teeth to construct a tooth

GLO SCIENCE 174 PROFESSIONAL CHAIRSIDE WHITENING CONSENT FORM

Teeth Whitening is designed to lighten the color of your teeth When done properly the whitening will not harm your teeth or gums Significant lightening can be achieved in the vast majority of cases but the results cannot be guaranteed Teeth whitening like any other treatment has some inherent risks and limitations These are seldom

Teeth Whitening Consent Form Template

LED Teeth Whitening Informed Consent Form To the CLIENT You have a right to be informed about your condition and its treatment so that you may decide whether or not to undergo the procedure after knowing the risks and hazards involved

There are a wide variety of over-the-counter and professional products for whitening teeth, including gels, pastes, strips, gums and rinses. This position statement focuses on products that whiten teeth through bleaching, which is a chemical process that cannot be immediately reversed. Products that whiten teeth by mechanically removing debris

Also Understand That This Procedure Is Optional And Has Not Been

Your dentist will use one of these two methods to whiten your teeth Vital bleaching is done on living teeth and can be used to whiten your teeth if they have become stained by food or tobacco or if they have become dark with age Non vital bleaching is bleaching done on teeth that are no longer alive

Teeth Whitening Consent Form

LED Teeth Whitening Informed Consent Form To the CLIENT You have a right to be informed about your condition and its treatment so that you may decide whether or not to undergo the procedure after knowing the risks and hazards involved

Consent form I have the right to ask questions about any procedure before agreeing to undergo the procedure My dentist has informed me that my teeth are discolored and could be treated by in office whitening also known as

Ready To Print Teeth Whitening Consent Form In Office Teeth Etsy