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COVID
COVID Forms
AB
Alberta
Patient Pre-Screening
Patient In-Office Screening
Pandemic Dental Treatment Consent
Pandemic Support Staff Consent
Staff Daily Screening Log
Patient Screening STAFF
BC
British Columbia
Patient Pre-Screening
Patient In-Office Screening
Pandemic Emergency Dental Risk
ON
Ontario
Patient Pre-Screening
Patient In-Office Screening
Pandemic Dental Risk
Dental Office Return-to-Work Screening
Patient Screening STAFF
SK
Saskatchewan
Patient Pre-Screening
Patient In-Office Screening
Pandemic Dental Treatment Consent Form
QC
Quebec
Pandemic Dental Treatment Consent
Pandemic Support Staff Daily Consent
Patient Screening
Formulaire de présélection des patients
Consentement au traitement dentaire durant la pandémie
Formulaire de dépistage du patient
NB
New Brunswick
Patient Pre-Screening
Patient In-Office Screening
NS
Nova Scotia
Patient Pre-Screening
Patient In-Office
NT
Northwest Territories
Patient Pre-Screening
Patient In-Office Screening
US
United States
Patient Pre-Screening
Patient In-Office Screening
Pandemic Dental Treatment Consent
Patient Screening STAFF
Medical/Dental History
Medical/Dental History v.1
Medical/Dental History v.2
Medical/Dental History v.3
Medical/Dental History v.4
With Authorization & Consent
Medical/Dental History for Children v.1
Medical/Dental History For Children v.2
For Adult & Child
Medical Questionnaire
Confidential Information Questionnaire
Dental History
Medical History (Eaglesoft)
Health History Questionnaire (RDH)
Patient Information & History
New Patient Information
TMJ Health Questionnaire
Medical/Dental Update
Medical History Update v.1
Medical History Update v.2
Medical History Update v.3
Patient Information Update
Consent
Consent for Bone Graft Surgery
Consent for Botox Therapy
Consent for Crowns & Bridge Prosthetics
Consent for Crown Lengthening
Consent for Endodontic Treatment
Consent for Endodontic Therapy
Consent for Extraction of Teeth v.1
Consent for Extraction of Teeth v.2
Consent for Extraction of Teeth v.4
Consent for Dental Extractions v.1
Consent for Dental Extractions v.2
Consent for Fillings
Consent for Gingival Grafting Surgery
Consent for Impacted Tooth Treatment
Consent for Implant Surgery v.1
Consent for Implant Surgery v.2
Consent for Implant Removal
Consent for Invisalign Treatment
Consent for Maxillary Sinus Elevation Surgery
Consent for Nitrous Oxide
Consent for Oral & Maxillofacial Surgery
Consent for Oral Surgery
Consent for Orthodontic Treatment
Parental Consent for Dental Treatment
Personal Information Consent v.1
Personal Information Consent v.2
Personal Information Consent v.3
Personal Health Information Consent
Financial Arrangements, Office Policy, and Pediatric Consent
Post-Operative Instructions Following Oral Surgery
New Patient Privacy Consent
Consent for Root Canal Treatment
Consent for Nitrous Oxide/Oxygen Sedation
Consent for Oral/Moderate Sedation
Consent for Intravenous Sedation
Consent for Social Media
Records Release
Dental Records Release v.1
Dental Records Release v.2
Dental Records Release v.3
Insurance
Dental Insurance v.1
Dental Insurance v.2
Dental Insurance v.3
Insurance and Billing
Insurance Update
Financing Non-covered Dental Services
Sleep Assessment
Sleep Apnea Questionnaire
Adult Sleep & Breathing Questionnaire
Sleep Disorder Symptoms Assessment
Pediatric Sleep Questionnaire (Screening)
Other
Financial Policy
Invisalign - The Vision
Periodontal Referral
Discussion and Refusal of Treatment