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
  • 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

Patient Information and Consent Form ...

This app is a consent form for cosmetic dentistry. It gives the dentist authorization to perform the dental reconstruction...

App Name

New Dental Patient Health History Inf...

A complete health history tracking form that is simple for any user to fill out. This application allows the patient to en...

App Name

Dental OSHA Planning and Responding t...

Nobody expects an emergency or disaster. Yet emergencies and disasters can strike anyone, anytime, anywhere. Employers sho...

App Name

Dental OSHA Formaldehyde

Formaldehyde is a colorless, strong-smelling gas often found in aqueous (waterbased) solutions. Commonly used as a preserv...

App Name

New Medical/Dental Patient Form

The New Medical Patient Form mobile app collects pertinent basic background information about a new patient for the creati...

App Name

Dental Infection Prevention Checklist

The Dental Infection Prevention Checklist mobile app should be used to ensure the dental health care setting has appropr...

App Name

Dental Appointment Card A3982 - DA

The Dental Appointment Card A3982 - DA mobile app offers a simple way to generate electronic appointment reminders for you...

App Name

Dental Equipment Service Report

The Dental Equipment Service Report mobile app provides a simple way to track dental equipment repairs electronically. Des...

More Information