Consent Form Oral Surgery
The disclosure is not meant to frighten or alarm you.
Consent form oral surgery. If you have any questions please ask your doctor. Consent for oral surgery please initial each line after reading. Pain swelling bruising infection prolonged numbness and allergic reactions. We at prosites appreciate the opportunity to design your practice s new website.
On your first visit to our office we will have your completed form available for your signature. Consent for oral surgery pdf. The duration will sometimes be for 2 weeks or even more. Oral surgery consent form download print complete before arriving.
Crystal lake huntley oral surgery patients only. B infection of the surgery site. Consent for oral surgery and anesthesia page 3 of 3 15. This is my consent for the physicians and staff who are working with him her to perform the following.
I understand this is an elective proce dure and that there are other forms of treatment available including the option of no treatment. Informed consent form for oral and maxillofacial surgery and anesthesia dear patient. A patients should assume that there will always s be pain and or discomfort and or swelling and or bruising. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
You have a right to be informed about your diagnosis and planned surgery so that you may make a decision whether to undergo a procedure after knowing the risks and hazards. Oral surgery extraction consent form i have recommended that one or more of your teeth be extracted based upon your symptoms my examination of your mouth the treatment plan i have discussed with you and your choice. Informed consent for oral surgery procedures risks. Lake geneva burlington download forms.
There may be swelling phlebitis at the site.