Get Extraction Consent Form

Filling out the Extraction Consent Form online is an essential step in ensuring a clear understanding of the recommended dental treatment. This guide will provide you with a comprehensive overview of each section of the form, enabling you to complete it with confidence and clarity.

Follow the steps to fill out the Extraction Consent Form effectively.

1. Press the ‘Get Form’ button to acquire the Extraction Consent Form and open it in your browser.
2. Begin by entering the patient’s name in the designated fields for first name, last name, and initial.
3. Next, input the date of birth in the specified area, ensuring the format aligns with any required guidelines.
4. Review the nature of the extraction detailed in the guide, then specify which tooth or teeth are being extracted.
5. Indicate the reasons for extraction from the provided list, and select any applicable alternatives to extraction in the next section.
6. Complete the section describing the prognosis and estimated costs associated with the extraction, ensuring to check calculations and entries.
7. Read the risks associated with the extraction carefully, and initial next to each acknowledgment to confirm your understanding.
8. Provide an accurate medical history, including current medications and allergies, following the guidelines for transparency.
9. Sign and date the form in the spaces provided to indicate consent, and ensure a witness acknowledges the signature.
10. Once all sections are filled, review the document for any missing information, then save your changes, download a copy, or share as necessary.

Take the next step in your dental care by completing the Extraction Consent Form online today.