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Minor Patient Information Form

Gathering information and confirming custody prior to consenting and treating minor patients.

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New

Orthodontic Treatment Findings and Proposal Form

Considerations for treatment planning and documentation guidelines when performing orthodontic treatment.

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Updated

Consent to Disclose Personal Health Information (PHI)

Form and recommendations for obtaining consent to disclose patient health information to a third party.

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Premises Incident Report

Form for documenting injuries involving patients or visitors inside or outside the practice

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Office Closure Checklist

A checklist to help minimize property damage, secure the premise and protect assets during a closure

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Informed Consent Declaration: Minor Patient

Form for a non-legal guardian to authorize dental treatment on a minor patient

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Sample Employee Manual

A comprehensive, customizable employee manual template to effectively document and share workplace expectations

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Dispensing Products Acknowledgment

Form to document products that are dispensed to a patient (does not apply to medications)

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Responsible Parent Declaration

Form for treating minors whose parents are divorced or separated

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