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INFORMED CONSENT FOR PHILIPS ZOOM WHITESPEED TOOTH WHITENING TREATMENT INTRODUCTION My dentist has informed me that my teeth are discolored and could be treated by inoce whitening (also known as bleaching).

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How to fill out the Zoom Whitening Consent Form online

Completing the Zoom Whitening Consent Form online is a straightforward process that ensures you are well-informed about the teeth whitening procedure. This guide will walk you through each component of the form, empowering you to make a safe and informed decision.

Follow the steps to complete the Zoom Whitening Consent Form online

  1. Press the ‘Get Form’ button to access the Zoom Whitening Consent Form and open it in your chosen editor.
  2. Begin by reading the introduction section carefully. This will give you an overview of the treatment and your rights regarding the consent process.
  3. Proceed to the description of the procedure. Ensure you understand how the Zoom method works, including the application of the whitening gel and the LED light exposure during the sessions.
  4. Review the alternative treatments section. Familiarize yourself with other options available for teeth whitening, as indicated in the form.
  5. Continue to the cost section. Note that the cost is determined by your dentist, and ensure any additional costs are clarified before proceeding.
  6. Read the risks of consent for treatment thoroughly. This will inform you about potential complications and necessary precautions to take before undergoing the treatment.
  7. Fill out the signature section at the end of the form. Ensure you provide your name and date alongside your confirmation of understanding the procedure and its risks.
  8. Once all sections are complete, review your entries for accuracy. You can then save the changes, download, print, or share the completed form as needed.

Complete your Zoom Whitening Consent Form online to take the next step toward achieving a brighter smile.

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Is Zoom Whitening Permanent? No. Certain foods, drinks, and tobacco will still stain your teeth — even following the procedure.

Available in various strengths, you wear trays for 30 to 90 minutes, for results in as little as 2 weeks.

If teeth whitening does not work for you, it might be because of the product you are using, the type of tooth stains or spots, or strength of the bleaching gel. Product type – Whitening toothpaste does not remove deeply embedded stains.

Zoom whitening is considered perfectly safe for most people. The only people who are not recommended to receive Zoom are: pregnant or lactating women, children under the age of 14, people with an increased sensitivity to light, or patients who undergoing any type of photochemotherapy.

The ADA code for "internal bleaching per tooth" is D9974.

Q: Can Zoom whitening damage teeth? A: Zoom teeth whitening is an in-office, dentist-approved method for achieving a brighter smile, and it is safe for teeth enamel. “As long as you stick to dentist-approved methods, whitening your teeth is considered safe,” affirms Healthline.

D9974: This code is used for internal bleaching (inside the tooth) per tooth.

Children under 16 years of age. Patients with periodontal disease, tooth decay, cavities and exposed roots. People who are allergic to teeth bleaching whitening agents like peroxide. Individuals with sensitive teeth.

Zoom Teeth Whitening Cost An out-of-pocket cost for Zoom teeth whitening is around $500, depending on your location and dentist's office. However, this does not mean that Zoom is unaffordable! One of the best ways to pay for teeth whitening is to contact your dentist's office and see if they have financing available.

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Fill Zoom Whitening Consent Form

This information has been given to me so that I can make an informed decision about having my teeth whitened. I can make an informed decision about having my teeth whitened. I may take as much time as I wish to make my decision about signing this informed consent form. Zoom home teeth whitening treatment will lighten teeth as long as your dentist's instructions are adhered to. The Zoom whitening procedure involves using the gel and lamp in conjunction with each other to produce maximum whitening results in the shortest possible time. Zoom Day White and Zoom NiteWhite TOOTH WHITENING TREATMENT. INTRODUCTION. I may take as much time as I wish to make my decision about signing this consent form. Introduction. This information has been given so I can make an informed decision about having my teeth whitened. This file provides essential information on Zoom! Whitening treatment along with consent details.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232