Informed Consent Form

HomeInformed Consent Form
1. I,

agree that

2. If necessary, it is possible to apply anesthesia.
complex dental treatmentendodontic treatmentsurgical treatment

The potential complications of this procedure / procedures are explained to me.

4. I understand that anesthesia may be necessary for this procedure and I agree that the attending physician and his team should use local anesthesia, sedation or general anesthesia. To this end, I agree that the treating physician and his team use medications that they deem necessary other than those to which I am allergic

5. I am aware of the statistical risks and complications of the procedure (s) and that the doctor and his team will do their best to achieve excellent results.

6. All questions I have concerning the procedure(s) have been answered. The answers are satisfactory and I have no more questions.

By completing this form, I agree to all points 1 to 6 inclusive).