Consent for Non-Surgical Periodontal Treatment

Form Template

The Consent for Non-Surgical Periodontal Treatment mobile app generates an electronic periodontal treatment consent form that is easily accessible from any mobile device.

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The form includes language that describes the periodontal surgery that will be performed, along with any potential risks associated with the dental treatment.

Patients can sign the consent form electronically, acknowledging that they understand the details about periodontal therapy and understand that there is always a slight risk of allergic reactions to medical equipment and other standard risks associated with the non-surgical dental treatment. This periodontal treatment informed consent app was designed for non-surgical periodontal treatments.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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