Tag Archives: consent form

Consent for Root Canal Treatment (RCT)

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  ____________________________________________________     I hereby authorize Patient Name Dr. Bryan Bauer to perform a root canal treatment on tooth number  _________________ The intent of this procedure is to eliminate pain and infection in order to save the tooth from extraction.  Alternatives of doing nothing or extracting and possibly replacing the tooth were made known to me. […]

Consent for Oral Surgery

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Consent Oral Surgery ____________________________________________________     I hereby authorize Patient Name Dr. Bryan Bauer to perform the following procedure __________________________ The doctor has explained to me the proposed treatment and the anticipated results.  I understand there are possibly alternative forms of treatment.  The doctor has explained to me that there are certain potential risks involved with this […]