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Philips zoom whitening consent form

Philips zoom consent form 2026

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The document is an informed consent form for the Philips Zoom Whitespeed tooth whitening treatment. It outlines the procedure, including the use of hydrogen peroxide gel and LED light, alternative treatments, associated costs, and potential risks such as tooth sensitivity and gum inflammation. The patient is encouraged to ask questions and is informed about the variability of results and the need for possible follow-up treatments. By signing, the patient acknowledges understanding of the procedure and its risks.

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Click ‘Get Form’ to open the Philips Zoom consent form in the editor.
Begin by reading the introduction carefully. This section outlines your rights and the information provided by your dentist regarding the whitening procedure.
Proceed to the 'Description of the Procedure' section. Here, you will find details about how the Zoom treatment works. Ensure you understand each component before moving on.
In the 'Alternative Treatments' section, review other options available for teeth whitening. This will help you make an informed decision.
Next, fill in your personal information in the 'Signatures' section at the end of the document. Make sure to provide your name and date accurately.
Finally, sign and date where indicated to confirm your understanding and consent for treatment.

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How can I eSign my philips zoom consent form from Gmail?

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Does Philips Zoom damage teeth?

Q: Can Zoom whitening damage teeth? A: Zoom teeth whitening is an in-office, dentist-approved method for achieving a brighter smile, and it is safe for teeth enamel. \u201cAs long as you stick to dentist-approved methods, whitening your teeth is considered safe,\u201d affirms Healthline.

Do you spit out Zoom whitening?

Brush the gel onto your front top and bottom teeth in a circular motion and wear for five minutes. Avoid putting gel on your gums. The gel will lightly foam as it penetrates. After five minutes, spit out the excess foam.

How do you not swallow whitening gel?

Apply whitening gel to the tray as instructed along the front side of the inner tray walls. Insert the tray onto the teeth and push into place until fully seated. Do not swallow and remove excess gel from around the gum line. Do not eat, drink, or bite down with trays in place.

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How long does Philips Zoom last?

How long does the results of Zoom at-home whitening last? Your teeth will be white for approximately six to twelve months, after which they will gradually return to their previous colour.

How long do you leave Philips Zoom Nite White on teeth?

The most dramatic results for a healthy, white smile with convenient wear overnight. Philips Zoom NiteWhite 22% Carbamide Peroxide delivers maximum results for patients who don't mind a longer wear time or prefer whitening while they are sleeping. Wear time: Overnight or 2-4 hours daily. Optimal results within 2 weeks.

How long do you leave zoom on your teeth?

You can expect your teeth to be up to eight shades lighter! We'll apply the Zoom! whitening gel, apply the light to work its magic, and send you home with a custom touch-up kit to use at home. On average, you'll be in the chair for a quick 60 minutes.

Is Philips Zoom teeth whitening permanent?

Philips Zoom! teeth whitening treatment isn't permanent, but if you take good care of your teeth, your results can last for months at a time.

How long do Philips Zoom syringes last?

Megan Fairhall:With the Philips take-home gel, there are measurements marked on the side of the syringe. So patients can monitor how much they are using. Each tube should last around three days.