top of page

Consent for Implant Surgery

If you have any questions, please ask your doctor BEFORE signing. This form and your discussion with your doctor are intended to help you make informed decisions about your surgery. As a member of the treatment team, you have been informed of your diagnosis, the planned procedure, the risks, benefits, and alternatives associated with the procedure, and any associated costs. You should consider all of the above, including the option of declining treatment, before deciding whether to proceed with the planned procedure. Your doctor will be happy to answer any questions you may have and provide additional information before you decide whether to sign this document and proceed with the procedure.

Your diagnosis is
Alternative treatment methods include

Use your mouse or finger to draw your signature

📩 Your consent form has been received!

bottom of page