- April 19, 2021
- Posted by:
- Category: Uncategorized
b9o/Wv8Aoj0P+qf7GX/Eu/5Wb5I/6uX/ACQuP+qeP8n5v5v2j9a/6I9D/qn+xl/xLv8AlZvkj/q5 l/xLv+Vm+SP+rl/yQuP+qeP8n5v5v2j9a/6I9D/qn+xl/wAS7/lZvkj/AKuX/JC4/wCqeP8AJ+b+ An explanation of your need for periodontal flap surgery, the procedure and post-operative care, its purpose and benefits, possible complications as well as alternatives to this proposed treatment were discussed with you and we obtained verbal consent to undergo this procedure. from application/postscript to application/vnd.adobe.illustrator QOS+NCK5a0BKriF57a5C6cwa5ZPQElqxq7RoeUijT2ACeLctx7YpWX2mBZYrlLBSsIjFuEtlY/A3 x�ٲ�F����)�v�]m��k��P4n3FtĹ8͕.ND����d)�i)uJ�*v��rI�+��!i���}���Rv��j�E�˪)��p����-�R�~�]]|�]Q��}����ʦ��ƛ������\] 2014-10-23T12:23:28+01:00 converted qbnJ2en5KjpKWmp6ipqqusra6voRAAICAQIDBQUEBQYECAMDbQEAAhEDBCESMUEFURNhIgZxgZEy xmp.iid:0B9FED35200A11689FE8CB9EA85C5459 wOKqL6FJPdJcS6egjWZlkRoRLyV5SzUDaXyA5N40pU135FW2a6TottpaSR2zUikPL0hHBEoPSoEM Adobe Illustrator CS4 2008-05-15T16:23:06-07:00 27AdiMeFeJP/ADDeC402wfl9UNzKD6ckqq3ERu5AaG7tl5bVBV3od6bVACSxyC5mMazw37XEahaz juYy3EQtxJjOqtGas3MfFuKV6cgaRaL03UPLhsHluZpwYpucsz6txjYkrwLMNQuAfhVfhZvoAONF Adobe Illustrator CS4 2008-05-16T15:47:57-07:00 PROCESS I am being provided this information and refusal form so I may fully understand the treatment recommended for ... liability for ill effects which may result from my refusal to consent to the performance of the proposed treatment. 2014-10-29T16:01:53Z R0QTW0CutR1VsrbkXf3j2sUUiIZjI5R0CTEoK0B/dpMTX5ADxwoCAm1u+UVjsuQMbyLVbwbrSgIF xmp.iid:0180117407206811834383CD3A8D2303 xmp.iid:595F7FE02B2068118083BC3CA74D0441 C=75 M=0 Y=15 K=0 from application/postscript to application/vnd.adobe.illustrator V6fD3T4fb6MkGEgxG28svbXNtJHpt0jSoBdPGNJpGK148jGrvv8AaI371JyLZaeaToGkR2Udq+kr converted CXd+PmmHpyfo7jxPLl0pvld+pyKPAkXnOeGLU7AtGXkKsqcJEjZgauyHle2VQfSDfErD4SMOPJKI converted / saved v4Ev1uXRbSZILi1+t3DIZIofUtlcqGCsQLiWLpUVwCZZHFG0nOr+Tra6t1gsbf1H/fQPHcaajESK PROCESS / NKk1+11ATkH9L/TfsWOmn1MD/mf8e5fb5ppYWuq3E00N3pkdonHlDc/VrXjuFPEqt1cNzBJHTjt1 1jTZLH0VfLg6d18XMd9fBp5dYT92dALycSRIltZBK0BAblf/ALNdxUV7GmDxB5/P9jP8vKv4L/qf 2008-06-11T22:37:35-07:00 stream IIlv5n/ilW2s7u3iEUccpUbgyF5W3/ypJGb8cjKQJv8AH3M8eKUBQB+Nn7TIlV4X/wDvpv8AgB/z 0 saved I understand that during and after treatment, I may experience some pain or discomfort, swelling, bleeding and loosening of dental … gPQuWvG7yxqyimtu53psGXj03Jpit/j8FX/Sytyrf/WJLtt4LO79OR+DkJJGx1agQpHRuG/WvQ0a You the patient have the right to accept or reject dental treatment recommended by your dentist. xmp.iid:FD7F117407206811BDDDFD38D0CF24DD 2008-05-16T15:52:22-07:00 65 Bold xmp.iid:07C3BD25102DDD1181B594070CEB88D9 saved Available for PC, iOS and Android. dNcCWE+f0Zruz4TW/PieNvdRWEqsDVC1LqSKQmrBFCMBVhU0rkosJMSNnKsUYOpWJufUZ346fook AwD+svNiCVVq6bFQHluV3FPniZg9B9v62UcMhVzkf9Lv8o/ivfZppmq6leXTxy2SwwRAepIWuFbm xmp.iid:03801174072068118B15A50F0B2F0CF9 HWeIubazRZ5HcPFJp2lhnSU0InZJwGQAsaDf7NQSDVtaLo/Lvm6dbm3ZZYFuHZlmmsNJlVEKqAgU juJEQRstnyZaDm8bLqjhhy6UBI8DjwrxLrvzzqPKJraa0VeSLPBJ9TaQfE5kJddSCrxWJux/XR4V xmp.iid:0280117407206811A005C4D7EC7827CE P9Yea39NhyKmjiXiONN+VB4Vx4inw4pVB5r0W5EbWcBuVcsHEd3Y8k4KOVQbgAnkwHwkjetemGyj uVZIGLolBX49wRWm22bOGuyyBPFEPL5uwNHCQHhzlfUHl790vHlLygQxGga18KxuQUI2kTmQKtuU The disease process has been explained Jt1UijzEk0NMA5sjySbS74zRxWr6gZLllSf97Ox+CE8Ym4jVnBq68iyHi3fcjCxtUm1eYTXHDUBL FrutiRom; Frutiger flpPPPZRWdtcXMK8LiL13lmjBJb4qyM6Grnfr+GPEV4QyHRtC0jRbQ2ml2y2tuW5si1NW4heTFiS xmp.iid:5A5F7FE02B2068118083BC3CA74D0441 2008-06-09T14:58:36-07:00 yTz6gog5fWxyvalI2WVBsdWlXjVh8SADpt/LJgmFjLppgAl8xW8FxxeS+t/rU9UjAYFaJqEywcWc zuoDVopc8Rt2yJDMFNsCUg8y2OqXEiSWfrN6cTgRxPIisWVhSiXllVq8acq07EVqCGJSqPSPMUSx saved 0+PzhJSktMTU5PRldYWVpbXF1eX1RlZmdoaWprbG1ub2R1dnd4eXp7fH1+f3OEhYaHiImKi4yNjo JZIlYgGdTKxodqhSI96b/wCZqAYQ3/H6VGXNQ2Hnv+z8fci+q6/DzluvqsNoicnmNw/wECpLcolX Adobe Illustrator CS4 1 / DXPUBfStmCkj6rYhVrRWApeM3Kvx1qw47bnCcsfP/TfsQNLPqYf6Ty/rd/v22rqj9MjuXkEOoaIq Cyan These formats may be modified as per individual requirements. ... and that all questions about the proposed periodontal treatment have been answered in a satisfactory manner. bma1mB3ThEIiASTQ1d67UHb+hke4FGMV9RifcK/SUR/uM/4p/wCEyPq8230eTv8AcZ/xT/wmPq81 mtVH2VKyMByBp8XvhuHcfn+xhw59vVHz9J+P8e32/FO7HTp7SyjjtHtYbY8pJIobZ41Iff4F9b4P Many dentists find informed consent and documenting refusal of treatment a complex subject and benefit from continuing education dedicated to the subject. yes4WX1HOyEHj6Yi1OQR8fss3GpJrt1DstFDpoGvepAs8F5JHw4yGOeeMBWAXhT9MNQrSrmjcvnj RZMS85aHoN7f297qt1p1utvEyML9C1VcnjuZ4VC86H7JNRSo3yQLGQCCX8rNM52xBtjbwqv7kJeF +NlEWolkLT6fLLNwWNprjTGdgpZllWNk0hNvTJK8hRqjYb4qyDzHcappPly1hlvYo51m+G5lmjiL / saved ���/��L�cEn3��u�������]���'Td�7���)��@++��*��t�I3�pc��L�|�"���B! saved / I agree to assume thoserisks and possible failure associated with but not limited to the following. uuid:5D20892493BFDB11914A8590D31508C8 / jijVVd4jDO8ETKisQsgKC8DNx48iag/FtWlC7LummnQazG0p1G7gug1DEILdrfhQUYHlNPyB64Eh / 001.002 Despite all 2008-05-16T10:35:43-07:00 / / Adobe Illustrator CS5.1 The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. THIS IS A SUPPLEMENTAL INFORMED CONSENT Informed Consent for Patients with Periodontal Concerns Your orthodontist has determined that you might be at risk for periodontal (gum) disease. 1ZXikLQ8FXTuKgpRXp9H+UeJeFRi/L7UGuBcTxWQkYyLKESyNUlh4sxJ00cpDJuSdqV23448S8LX Prior to consenting to treatment, you should carefully consider the anticipated benefits and commonly known risks of the recommended procedure, alternative treatments, or the option of no treatment. UXsg/eODUK96Ty58KcmbpQDG1paPKepRQ/VzqyKsqemE5aiKuoJT066gSoAG4Xr4+Da0rDyxrBml Patient Info leaflet & consent form 2019 2014-11-27T14:54:51Z / q/PImRLZHGIja/mT96J1e/1m1VDpmnfpMtHyceqttxk5KOH7ytfhJNfanfAyCGfVvNAhZl0ENMAS 8JYKjkgFPg2Lb/FtXAqc2VrJb2i28lzJeOoINxcCPm1ST8XprGu3TZcCaYNqJsRrXpvZabLd2xlk I4iBRkT/AKX9AXW1zrtxJCvOZGdvU4kMicPgLKzSWCcaVIVTQnx8Dxj+aPt/WwOCV/3kuf8AQ+X0 DXp8VFq2Fopnp9nr8epwukd3DH6jrcSXT+vEYqljRP0hLx5FqIwQstKEccBpItleRZMYu1kMbukz 0.000000 saved (Name of Patient) Adobe Illustrator CS4 Adobe Illustrator CS4 Treatment involves removing the bacterial substance known as plaque, which is the principal cause of periodontal disease and calculus, which is an accumulation of hard deposits on the tooth above or below the gingival margin.
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