Consent to a Crown, Inlay, Onlay, Bridge

Consent to Dental Treatment

  • Date Format: DD slash MM slash YYYY
  • I confirm that I have read through the treatment guide and understand the benefits, risks, and limitations of treatment. I have had the opportunity to ask relevant questions about the treatment. While providing consent to commence treatment, I understand that I may withdraw consent to continue treatment at any time by providing my instructions in writing.
  • Date Format: DD slash MM slash YYYY