6+ Teeth Whitening Consent Form

Brush the trays with your normal toothbrush and tooth paste. _Staff of Teeth By.


Teeth Whitening Consent Form Etsy De

LED Teeth Whitening Informed Consent Form To the CLIENT.

. Significant lightening can be. I will be required to refrain from consuming any substances that could discolor my teeth for 48 hours. When you purchase our forms you have 31 days to download your form before the link expires.

This information has been given to me so that I can make an informed decision about having my teeth whitened. Apply no more than 13 to ½ of syringe gel per tray and wear for 30 minutes per. I acknowledge that I am purchasing a self-administered Teeth Whitening Kit that is designed to lighten the color of my teeth.

The take home whitening procedure that you will be using is designed to lighten the color of the teeth using peroxide gel in a custom fitted tray worn over the teeth. Teeth Whitening Consent Form Template Use this template Preview Open in new tab If you are running a dental clinic that provides teeth whitening services you might be looking for a. You have a right to be informed about your condition and its treatment so that you may decide whether or not to undergo the.

Brush your teeth before and after bleaching. When you purchase youll also have 3 opportunities to download the form as well. Although most natural teeth can benefit from a teeth whitening treatment I understand that everyones teeth are different and that results will varyI.

INFORMED CONSENT FORM INTRODUCTION This information has been given with the intention that you can make an informed decision about having your teeth whitened using the. Whitening by Dat should. If you do not.

Philips Zoom is the Worlds Leading professional whitening product offering safe and effective results. I have been given the opportunity to ask any and all questions regarding the nature and purpose of teeth whitening and have received all answers to my satisfaction. As part of the purchase I am asking for assistance in the.

_Results of the whitening treatment is not intended to permanent. General Information Teeth whitening is designed to lighten the color of your teeth. Understand that this procedure and home care treatment are not intended to whiten artificial teeth caps crowns teeth with fillings veneers or porcelain composite other restorative.

Visit UsCrumlin199 Crumlin Road Dublin 12 D12 YHH6. Consent form for Tooth Whitening Toothwhiteningisastateoftheartproceduredesignedtowhitentheteethtotheiroptimumnaturalbrightness. TEETH WHITENING INFORMATION CONSENT FORM 1.

The doctor or professionals explained the nature of the treatment and how it will help meI understand the risk and complications if I do not follow the instructions given to me after the. I may take as much time as I wish to make my decision about signing this. You dentist or hygienist will advise you on the best treatment plan for you and your teeth.


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