Consent for Crown and Bridge Prosthetics

Form Template

Crown or bridgework may be indicated to fix a tooth for a variety of reasons such as a crack in the tooth, existing crown decay, or to add support to a root canal tooth.

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Crowns and bridges cover the tooth to prevent further damage. Complete this Consent for Crown and Bridge Prosthetics to describe the procedure and outline potential risks and complications. Also includes signature capture to electronically obtain the patient's consent for the procedure.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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