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Bisphosphonate Informed Consent Form

Designed for your patients who are now taking, or have taken in the past, medications known as “bisphosphonates.” Outlines general risks these individuals may encounter while in orthodontic treatment

$10.00 - Bisphosphonate Informed Consent Form
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Headgear Container Label

Help your patients prevent loss and alert them to safety precautions with these self -adhesive cloth labels. (Roll of 50)

$9.00 - Headgear Container Label
Out of stock

History Form For Patient With Temporomandibular Disorder Pack of 50

This history form for patients with temporomandibular disorder may be used in conjunction with the Medical History Form. It provides a more comprehensive overview of the patient's history of TMD.

$10.00 - History Form For Patient With Temporomandibular Disorder
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Informed Consent For The Orthodontic Patient (ENGLISH)

Guide your patients through this key practice management tool outlining risks associated with orthodontic treatment. The signature page covers consent to undergo orthodontic treatment and the form inmore»

$25.00 - Informed Consent For The Orthodontic Patient - Risks and Limitations of Orthodontic Treatment
$25.00 - Informed Consent For The Orthodontic Patient - Risks and Limitations of Orthodontic Treatment
$25.00 - Informed Consent For The Orthodontic Patient (ENGLISH)
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Informed Consent For The Orthodontic Patient (FRENCH)

Guide your patients through this key practice management tool outlining risks associated with orthodontic treatment. The signature page covers consent to undergo orthodontic treatment and the form inmore»

$50.00 - **Minimum order of two packs required. Price represents two packs of 50 and quantity entered below will be double the number of packs ordered (e.g., quantity of 1 equals 2 packs of 50).**
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Informed Consent For The Orthodontic Patient (SPANISH)

Guide your patients through this key practice management tool outlining risks associated with orthodontic treatment. The signature page covers consent to undergo orthodontic treatment and the form inmore»

$25.00 - SPANISH Informed Consent For The Orthodontic Patient
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Medical Dental History Form - Adult

Four-page adult medical and dental history form for confidential use in your office. Pack of 50

$10.00 - Medical Dental History Form - Adult
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Medical Dental History Form - Patients Under 18 Years

Four-page child medical and dental history form for confidential use in your office. Pack of 50

$10.00 - Medical Dental History Form - Patients Under 18 Years
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Orthodontic Endorsement Form

Half-sheet duplicate form with self-adhesive backing to be used as an overlay with patient claim form. (Pack of 50)

$10.00 - Orthodontic Endorsement Form
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Request For Release of Patient Records Forms (pack of 50)

Provides formal documentation of a patient's request for release of records.

$10.00 - Request For Release of Patient Records Forms (pack of 50)
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