Dentures

INFORMED CONSENT DISCUSSION FOR DENTURE(S)

  • Est. date completed
  • Est. date completed:
  • Est. date completed:
  • Est. date completed:
  • Est. date completed:
  • MM slash DD slash YYYY
  • I attest that I have discussed the risks, benefits, consequences, and alternatives of dentures with the above-referenced patient, who has had the opportunity to ask questions, and I believe my patient understands what has been explained.
  • MM slash DD slash YYYY