Zoom Whitening Consent Form. Due to the strong whitening gel used in this procedure, a resin shield is used to protect your gums. Once the gums are protected, the gel is applied to the tooth surface.
ZOOM! Consent Form by Jeremy Nelson Issuu
_____ patient’s signature date advanced dental care of englewood adrijana miksa, d.m.d. Maximum number of sessions in one visit is 3. This form outlines the risks and potential complications associated with the treatment and allows the patient to make an informed decision. I have the right to ask questions about any procedure before agreeing to undergo the procedure. Web what does this mean? Web informed consent for philips zoom tooth whitening treatment introduction this information has been given to me so that i can make an informed decision about having my teeth whitened. A zoom whitening consent form is an essential document that dentists must provide to their patients before they begin a teeth whitening procedure. Treatment involves using the gel and lamp in conjunction with each other to produce maximum whitening results in the shortest possible time. Due to the strong whitening gel used in this procedure, a resin shield is used to protect your gums. This process can usually be done in one visit.
This process can usually be done in one visit. Maximum number of sessions in one visit is 3. _____ patient’s signature date advanced dental care of englewood adrijana miksa, d.m.d. I have the right to ask questions about any procedure before agreeing to undergo the procedure. Consent forms can protect both the patient and the clinician. Once the gums are protected, the gel is applied to the tooth surface. During the procedure, the whitening gel will be applied to my teeth in a series of “sessions”, each lasting 15 minutes. This process can usually be done in one visit. Web informed consent for philips zoom tooth whitening treatment introduction this information has been given to me so that i can make an informed decision about having my teeth whitened. This form outlines the risks and potential complications associated with the treatment and allows the patient to make an informed decision. I may take as much time as i wish to make my decision about signing this informed consent form.
