LED Teeth Whitening Consent

Form Template

The LED Teeth Whitening Consent form mobile app offers a convenient way to get patient consent prior to delivering in-office whitening treatments.

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Designed to inform patients about cosmetic teeth whitening procedures and notify them about the possible risks associated with using laser teeth whitening, including increased sensitivity of teeth gums due to teeth whitening products, the app logs patient signatures electronically for your records.

Instead of tracking patient consent and signatures by hand, dentist's offices that perform in-office tooth whitening procedures can now generate an easy to use form with any smartphone or tablet. It's the fastest, easiest way to get patient consent before patients undergo professional teeth whitening procedures. The app covers all types of LED teething whitening systems, making it easy for patients to begin the process of getting a whiter smile in no time at all.

  • 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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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“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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