NEW PATIENT FORM
CONSENTS FOR TREATMENT
- Crown and Bridge Consent
- CONSENT FOR PERMANENT DELIVERY
- Zoom Consent
- Scaling & Root Planning (SRP)
- oral sedation consent and instructions
- Instructions for IV Anesthesia
- Consent for Dental Implant Surgery
- INFORMED CONSENT FOR DENTURES
- INFORMED CONSENT FOR PARTIALS
- AUTHORIZATION FOR DENTURE FINAL PROCESSING
- Consent for Bone Grafting
- Consent for Crown Lengthening and/or Gingivectomy Surgery
- Consent for Nitrous Oxide Analgesia
- invisalign consent
- Consent for Gingival Graft Surgery
- CONSENT FOR EXTRACTION OF TEETH
- ROOT CANAL / ENDODONTIC TREATMENT CONSENT
- consent – IMMEDIATE COMPLETE DENTURES AND PARTIAL DENTURES
- CONSENT FOR PORCELAIN VENEERS AND BONDING
- CONSENT FOR DENTAL TREATMENT IN IRRADIATED AREAS
- SPANISH – oral surgery consent
- SPANISH – Medical update
- Dental Release For Radiation Therapy
- CONSENT FOR DENTAL PROCEDURES – While under IV Sedation
- NTI / Night Guard-Consent Form
- REMOVAL OF BRIDGE-CONSENT FORM
- Consent Oral Cancer Screening
TX PLAN
INSTRUCTIONS
- Post-Op Crown and Bridge Treatment
- DRY MOUTH INSTRUCTIONS
- ORAL SEDATION-PATIENT INSTRUCTIONS
- Post Op instructions for dental Implant Surgery
- POST OP INSTRUCTIONS after dental surgery
- POST OP INSTRUCTIONS AFTER DENTAL IMPLANT OR GRAFTING SURGERY
- Post-Operative Instructions for Sinus Elevation Surgery
- Instructions for Oral Care during Radiation
- instructions for complete/partial denture prosthesis
- CARING FOR YOUR NEW TEETH – instructions for patient
- SPANISH – POST OP instructions
- SPRAY AND STRETCH TECHNIQUE FOR TMJ
LETTERS
- Medical clearance from physician
- REFUSAL OF TREATMENT
- Questions About Your Temporary
- new patient welcome letter
- welcome letter -after first appointment
- Patient release of info request– leaving to another dentist
- Letter of EXCUSE – Excuse from work/school
- patient who has not been back -letter to remind to return
- hygiene reminder for due patient – the perio sneak thief
- Collection letter #1 – balance is due
- collection letter – balance is 60 days due
- Collection letter – balance is over 90 days due
- Collection letter – balance is 120 days due
- FINANCIAL POLICY
- Progress report to referring dentist
- Thank you Letter to referring dentist
- Patient dismissal letters
- release of all claims midtown dentistry
OFFICE LABELS
CHARTING NOTES
