Sample Forms

Take advantage of our sample documents — such as allergy warnings, health history and letters — by using them in your dental office.


Allergy Warning Labels Content Type - Sample Form, State, Alaska, Arizona, California, Hawaii, Illinois, Minnesota, Nevada, New Jersey, North Dakota, Pennsylvania

Authorization for Agent to Consent to Dental Treatment of a Minor Content Type - Sample Form, State, Alaska

Authorization for Agent to Consent to Dental Treatment of a Minor Content Type - Sample Form, State, Arizona

Authorization for Agent to Consent to Dental Treatment of a Minor Content Type - Sample Form, State, California

Authorization for Agent to Consent to Dental Treatment of a Minor Content Type - Sample Form, State, New Jersey

Authorization for Agent to Consent to Dental Treatment of a Minor Content Type - Sample Form, State, Pennsylvania

Authorization for Care-taker to Accompany a Minor Content Type - Sample Form, State, Alaska, Arizona, California, Hawaii, Illinois, Minnesota, Nevada, New Jersey, North Dakota, Pennsylvania

Authorization for Release of Dental Records Content Type - Sample Form, State, Alaska

Authorization for Release of Dental Records Content Type - Sample Form, State, Arizona

Authorization for Release of Dental Records Content Type - Sample Form, State, California

Authorization for Release of Dental Records Content Type - Sample Form, State, Hawaii

Authorization for Release of Dental Records Content Type - Sample Form, State, Illinois

Authorization for Release of Dental Records Content Type - Sample Form, State, Minnesota

Authorization for Release of Dental Records Content Type - Sample Form, State, Nevada

Authorization for Release of Dental Records Content Type - Sample Form, State, New Jersey

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