Available on

Apple Android Windows

Patient Inform Consent for Implant Restoration Mobile App

This mobile app is an electronic consent form for implant restoration. It describes the two procedures; inserting the implant and the restoration of the implant. This app also captures the patient's signature with date.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Patient Inform Consent for Implant Restoration Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    Implant placement and restoration involves two major stages: surgical placement of the implant(s)...

  • Ico statictext

    A healthy mouth with sufficient bone mass is required for a successful implant result.

  • Ico statictext

    Compromised aesthetics and possible drift of adjacent and/or opposing teeth into the space(s) wi...

  • Ico statictext

    Removable prosthetic appliances are customized replacements of natural teeth, which rest on the ...

  • Ico statictext

    Fixed prostheses are customized restorations or replacements of missing teeth that are cemented ...

  • Ico statictext

    After surgical placement of the implants is completed and healed, the construction of the prosth...

  • Ico statictext

    I understand the new prosthesis may be fixed and have similar risks, benefits, and consequences ...

  • Ico statictext

    I understand that a reasonable aesthetic appearance of my edentulous (toothless) areas can be re...

  • Ico statictext

    I attest I have had a discussion with Dr.

  • Ico signature

    Patient Signature

  • Ico date


  • ...and More!

Related Health Care & Social Services Apps... and they're all free for GoCanvas subscribers!

App Name

Individual Life Outpatient & Dental B...

This app enables the claimant to file for Outpatient and Dental Claims Benefits using their mobile device. Expertly design...

App Name

Dental OSHA Workplace Violence

Workplace violence is violence or the threat of violence against workers. It can occur at or outside the workplace and can...

App Name

Dental OSHA Healthcare Workplaces Exp...

If your workplace requires your workers to have contact with people who are known or suspected to be infected with the pan...

App Name

Dental OSHA Ethylene Oxide

Ethylene oxide (EtO) is a flammable, colorless gas at temperatures above 51.3 ºF (10.7 ºC) that smells like ether at toxic...

App Name

Patient Inform Consent for SRP

The Patient Informed Consent mobile app is a simple consent form. Have your patients review, complete, and sign this infor...

App Name

ZOOM! In-Office Tooth Whitening Conse...

Complete the In-Office Tooth Whitening Consent Form quickly on an iPhone, iPad, or Android device. This dental whitening t...

App Name

Quality Assurance Dental Chart Review...

The Quality Assurance Dental Chart Review Form mobile app offers a simple way to track the results of quality improvement ...

App Name

Dental Insurance Claim Form

The Dental Insurance Claim Form mobile app makes it easy to submit dental insurance claims electronically. Make the most o...

More Information