A Teeth Whitening Consent Form is a legal document that is used to inform patients of the potential risks and benefits of a teeth whitening treatment, and to obtain their informed consent before performing the treatment.
The teeth whitening consent form typically includes the following information:
1. Description of the procedure: The form should describe the teeth whitening procedure in detail, including the materials and equipment that will be used.
2. Risks and side effects: The form should outline the potential risks and side effects of the teeth whitening procedure, including tooth sensitivity, gum irritation, and damage to existing dental work.
3. Benefits and expectations: The form should also outline the potential benefits of the procedure, such as a brighter, more attractive smile, and provide an estimate of how long the results are likely to last.
4. Alternatives: The form should describe alternative treatments, including other teeth whitening methods, as well as the option of not undergoing treatment at all.
5. Cost and payment: The form should outline the cost of the procedure, any additional fees, and payment options.
6. Consent: The form should provide space for the patient to sign and date to indicate that they understand the information provided and give their consent to undergo the teeth whitening procedure.
It's important for patients to read and understand the consent form before signing it. If a patient has any questions or concerns about the teeth whitening procedure, they should discuss them with their dentist before signing the form.