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Patient Inform Consent for Invisaligin Mobile App

This is a mobile app consent form for Invisalign, which is a clear alternative to braces. This app helps inform the patient of the the benefits and risks of Invisalign. It also gives an overview of the device itself.

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

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Take a peek inside the Patient Inform Consent for Invisaligin Mobile App

Included Features

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Included Fields

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

  • Ico statictext

    Your doctor has recommended the Invisalign system® for your orthodontic treatment.

  • Ico statictext

    Invisalign aligners, developed by Align Technology, Inc.

  • Ico statictext

    You will undergo a routine orthodontic pre-treatment examination including x-rays and photographs.

  • Ico statictext

     Invisalign aligners offer an esthetic alternative to conventional braces.

  • Ico statictext

     Failure to wear the appliances for the required number of hours per day, not using the product...

  • Ico statictext

     A tooth that has been previously traumatized, or significantly restored may be aggravated.

  • Ico statictext

    I have been given adequate time to read and have read the preceding information describing ortho...

  • Ico statictext

    I acknowledge that use of my Medical Records is without compensation and that I will not nor shal...

  • Ico signature

    Patient Signature

  • Ico date

    Date

  • ...and More!

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