Dental clearance form 2026

1. Click ‘Get Form’ to open the dental clearance form in the editor.
2. Begin by entering the patient appointment date in the designated field. Use the format ___/___/___ for clarity.
3. In the 'To' section, specify the name of the dental clinic receiving this form.
4. Fill in the patient's name and date of birth (DOB) in the appropriate fields to ensure accurate identification.
5. Review the statement regarding dental infection. Indicate whether the patient is free of any dental infection by checking the appropriate box and providing comments if necessary.
6. If applicable, note any current oral infections that require continued care, along with relevant comments.
7. Sign and date at the bottom of the form to validate your assessment.
8. Attach a copy of your business card as instructed and ensure all information is complete before submission.

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