Call Us : 315-253‐7384
183 Genesee Street
Auburn, NY 13021
Patient Consent Forms
Print out the necessary form, complete it and bring it on your next visit.
- Consent for Dental Treatment
- Consent for Bone Grafting
- Consent for Dental Implant Surgery
- Consent for Exposure Uncovering Bracketing of Unerupted Teeth
- Consent for Extraction of Teeth and Anesthesia
- Consent for Extraction of Wisdom Teeth and Anesthesia
- Consent for Incision and Drainage
- Consent for Oral Bisphosphonate Drugs Consent
- Consent for Biopsy Procedure
- Consent for Tooth Root Surgery
- Consent for Two-Stage Implant With Sinus-Lift or Bone Grafting Procedure
- Consent for Dental Treatment in Irradiated Areas
- Consent for Closure of Sinus Opening
- Consent for Tori Reduction and Anesthesia
- Consent for Frenectomy Surgery
- Consent for Soft Tissue Graft
- Consent for Sinus (Caldwell-Luc) Surgery
- Consent for Treatment in Patients Receiving IV Bisphosphonate – Antiresorptive – Antiangiogenic Drugs
- Consent for Treatment in Patients Receiving Oral Bisphosphonate Drugs
- Consent for Repair of Facial Fractures and Associated Injuries
- Consent for Facial Filler Injection
- Consent for Frenectomy
- Consent for Incision and Drainage
- Consent for Jaw Joint arthrocentesis Arthroscopic Surgery
- Consent for Nerve Lateralization
- Consent for Placement of Temporary Anchorage Device
- Consent for Sinus Surgery
- Consent for the Injection of Neurotoxin
- Consent for Treatment of Cysts and Tumors
- Informed Refusal of Treatment
- Medical Emergency Record
- Patient Acknowledgement – Tele-Health Consult Services
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