Smiley Dental Boston

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Spanish Patient Forms

NPP
Review our Notice of Privacy Practices to understand how your personal health information is used and protected.
Spanish Complete and Partial Denture Consent
Consent form for patients receiving complete or partial dentures, outlining procedure details and expectations.
Spanish Crown and Bridge Consent
Provides consent and information regarding crown and bridge procedures, including risks and benefits.
Spanish Endo Consent
Consent form for endodontic (root canal) treatment, explaining the procedure and possible complications.
Spanish Extraction Consent
Outlines consent for tooth extraction procedures along with associated risks and aftercare instructions.
Spanish General Informed Consent
General consent form allowing dental treatments after understanding procedures, risks, and alternatives.
Spanish HIPAA Consent
Authorizes the use and disclosure of your health information in accordance with HIPAA regulations.
Spanish Implant Consent
Consent form for dental implant procedures, including details about treatment, risks, and expected outcomes.
Spanish Pulpotomy Consent
Provides consent for pulpotomy treatment, commonly performed to treat infected or damaged tooth pulp.
Spanish SRP Consent
Consent form for Scaling and Root Planing (deep cleaning) procedures to treat gum disease.
Spanish X-ray Release Request
Request form to authorize the release and transfer of your dental X-rays to another provider.