DENTAL IMPLANT CONSENT FORM - Dr Toscano 2025

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I declare that I am more than 18 years of age. I have been informed that there are inherent risks involved in the treatment / procedure. I have signed this consent voluntarily out of my free will without any pressure and in my full senses.
When it comes to dental implants, the dentist should inform the patient about the following: The risks and benefits of dental implant surgery, such as infection, implant failure, and nerve damage. The alternatives to dental implants, such as dentures or bridges. The materials used in the dental implant procedure.
Often, an insurance company will ask a lot of questions in order to determine if dental implants meet their definition of a medical necessity. They may approve payment if a patients tooth loss was the result of an accident, advanced gum disease, or other serious health problems, such as cancer or chronic GERD.
What is the difference between implied consent and written consent? When a patient enters a dentists office, the patient gives implied consent, at least for the dental examination. Provided the patient is capable, implied consent is given when the patient agrees to treatment, or at least does not object to treatment.
Many dental insurers require pre-authorization for implants. This means your dentist needs to submit a treatment plan, cost estimate, and supporting medical documentation to the insurance company before the procedure. Getting pre-authorization can help you understand the costs involved before you commit to surgery.
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A signed consent form and verbal verification from your patient permit you to administer a dental treatment, procedure, or examination. These documents ensure that the patient understands the risks and benefits of the service, their rights to medical records, and other practice-specific policies.

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