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  • Informed Consent For Silver Diamine Fluoride Template - Dhcs

Get Informed Consent For Silver Diamine Fluoride Template - Dhcs

Informed Consent for Silver Diamine Fluoride (SDF) Facts for consideration: Silver diamine fluoride (SDF) is an antibacterial liquid used to treat tooth sensitivity and to help stop tooth decay. SDF.

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How to fill out the Informed Consent For Silver Diamine Fluoride Template - DHCS online

Filling out the Informed Consent For Silver Diamine Fluoride Template is an important step in understanding and agreeing to the treatment process. This guide provides clear and supportive instructions to help you navigate the form efficiently.

Follow the steps to complete your consent form online.

  1. Click ‘Get Form’ button to access the Informed Consent For Silver Diamine Fluoride Template and open it in the available editor.
  2. In the section labeled 'Name of patient', clearly write the full name of the individual receiving the treatment. This ensures proper identification.
  3. In the 'DOB' field, enter the date of birth of the patient, which is essential for verification of age and eligibility for treatment.
  4. Next, locate the section for the 'Signature of patient or parent/guardian'. If the patient is a minor or requires assistance, ensure that a parent or guardian signs the document.
  5. Underneath the signature line, write today’s date in the provided field to confirm when consent was given.
  6. Review all entered information to ensure accuracy and completeness before proceeding.
  7. Once all information is entered and verified, save the changes to your document. You may also opt to download, print, or share the completed form as needed.

Complete your informed consent online today to ensure a smooth treatment process.

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The SDF ADA dental code is D1354, which is currently per tooth. Other dental codes that you can also use are D1999, D9910, and D1208.

The U.S. Food and Drug Administration (FDA) has classified SDF as a Class II medical device and it is cleared for use in the treatment of tooth sensitivity, which is the same type of clearance as fluoride varnish, and must be professionally applied.

Silver diamine fluoride (SDF) is an odorless liquid that contains silver particles and fluoride. It is applied by a dentist, or other dental provider, directly to cavities with a small brush. SDF is used to stop cavities from getting worse, and help keep teeth healthy.

Dip brush into SDF and dab on the side of the plastic dappen dish to remove excess liquid before application. Apply SDF directly to only the affected tooth surface. Remove excess SDF with gauze, cotton roll, or cotton pellet to minimize systemic absorption. Application time should be at least one minute if possible.

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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