Available on

Apple Android Windows

Patient Informed Consent for Root Canal Mobile App

This mobile app is a consent form for a root canal. This app outlines the risks and the benefits as well as the consequences for not receiving treatment. You can easily customize this app to meet your dental practices requirements.

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

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Take a peek inside the Patient Informed Consent for Root Canal Mobile App

Included Features

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Included Fields

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

  • Ico statictext

    Root canal treatment, also called endodontic treatment involves removing the nerve tissue (calle...

  • Ico statictext

    Root canal treatment is intended to allow you to keep your tooth for a longer time, which will h...

  • Ico statictext

    I understand that I may receive a local anesthetic and/or other medication.

  • Ico statictext

    I understand that if I do not have root canal treatment, my discomfort may continue and I may fa...

  • Ico statictext

    I understand that depending on my diagnosis, alternatives to root canal treatment may exist whic...

  • Ico signature

    Patient Signature

  • Ico date


  • ...and More!

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