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Click ‘Get Form’ to open the printable teeth whitening consent form in the editor.
Begin by filling in your name in the designated space where it says 'I, ________'. This identifies you as the patient authorizing the procedure.
Next, enter the name of the dentist or practitioner performing the procedure in 'Dr. ______'. This ensures clarity on who will be administering your treatment.
Review and acknowledge that you have been informed about alternative treatment methods and potential risks, such as sensitivity. You may want to add any specific questions you had for your provider.
Sign your name in the '_______ Patient' section to confirm your consent and understanding of the procedure.
Have a witness sign in the '_______ Witness' section, which is often required for legal documentation.
Finally, fill in the date at '_____ Date' to complete your consent form.

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2013	4.8 Satisfied (290 Votes)

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