Informed Consent Declaration Sample form for a non-legal guardian to authorize dental treatment on a minor patient. August 08, 2023 Sample Forms State Washington Topic Documentation Patient Care
Sample Employee Manual A comprehensive, customizable employee manual template to effectively document and share workplace expectations and policies. June 30, 2023 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation Employment Featured
Sample Orthodontic Forms Set of sample forms: early removal of braces, lack of progress and statement of satisfaction. March 03, 2020 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation Patient Care
Sample Acknowledgment of Surveillance Camera Installation Sample notice, acknowledgement/release and policy to inform patients and staff that surveillance cameras are used. March 03, 2020 Sample Forms Alaska Arizona California Hawaii Illinois Minnesota Nevada New Jersey North Dakota Pennsylvania Documentation General Liability
Sample Letter to Patient – Follow Up for Biopsy Sample letter to patient regarding referral for evaluation and/or biopsy of suspicious area or lesion. October 24, 2018 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation Patient Care
Sensory Recording Sample Form Sample chart for recording a neurological examination, including a patient’s symptoms, clinical findings and comments. July 12, 2018 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation General Liability Patient Care
Emergency Phone Screening to Determine Appointment Immediacy Form to facilitate patient screening by phone and determine immediacy or appointment or emergency care. January 25, 2017 Sample Forms Alaska Arizona California Hawaii Idaho Illinois Minnesota Montana Nevada New Jersey North Dakota Oregon Pennsylvania Tennessee Washington Documentation Patient Care
Authorization for Care-taker to Accompany a Minor Sample form to authorize a non-legal guardian to accompany a minor patient to dental appointments. June 30, 2016 Sample Forms State Alaska Arizona California Hawaii Illinois Nevada New Jersey North Dakota Pennsylvania Documentation General Liability Patient Care
CBCT Scan Forms Set of CBCT sample forms, including informed consent, refusal, referral and notice of non-read scan. June 22, 2016 Sample Forms Alaska Arizona California Hawaii Illinois Minnesota Nevada New Jersey North Dakota Pennsylvania Documentation General Liability Patient Care
Self-Sufficient Minor Form certifying and documenting self-sufficient minor status for medical, dental or surgical diagnosis or treatment. October 23, 2015 Sample Forms Arizona California Washington Documentation General Liability Patient Care