Esthetic Approval (Crowns, Veneers, Bridges) Form for esthetic approval of crowns, veneers or bridges October 23, 2015 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation General Liability Patient Care
Esthetic Approval and Case Completion (Dentures and Partials) Form for esthetic approval of dentures or partials and permission to proceed with their completion October 23, 2015 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation General Liability Patient Care
Follow Up for Biopsy Letter Sample letter to a patient about referral for evaluation and/or biopsy of a suspicious area or lesion October 24, 2018 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation Patient Care
Health History Sample form for capturing a patient's health concerns and medical history October 23, 2015 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Topic Documentation General Liability Patient Care
Informed Consent Declaration: Minor Patient Form for a non-legal guardian to authorize dental treatment on a minor patient August 08, 2023 Sample Forms State Washington Topic Documentation Patient Care
Informed Refusal Form and recommendations for documenting a patient’s refusal of a test or treatment October 23, 2015 Sample Forms Alaska Arizona California Hawaii Illinois Minnesota Nevada New Jersey North Dakota Pennsylvania General Liability Patient Care
Orthodontic Forms Set A full set of sample forms: early removal of braces, lack of progress and statement of satisfaction March 03, 2020 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation Patient Care
Referral Letters (set of three) A set of sample letters for referring a patient, referral replies or findings and a patient summary October 23, 2015 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation General Liability Patient Care
Responsible Parent Declaration Form for treating minors whose parents are divorced or separated July 27, 2022 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Patient Care
Self-Sufficient Minor Form certifying and documenting the self-sufficient minor status for diagnosis or treatment October 23, 2015 Sample Forms Arizona California Washington Documentation General Liability Patient Care