formisoft

Dental Treatment Consent

Asks about treating dentist, procedure description, and teeth / areas involved. Built for general dental practices for restorative and preventive procedures.

Questions
13
Pages
2
Time
about 3 min

Includes

  • E-signature
  • Consent agreement
Use this templatePrint it instead

Your practice

Dental Treatment Consent

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • General dental practices for restorative and preventive procedures
  • Oral surgery offices for extractions and implant placements
  • Periodontal practices for scaling, root planing, and gum surgery
  • Endodontic offices for root canal therapy consent

Formisoft for Mental HealthFormisoft for Dental

What's inside

Before you publish: Add your practice-approved consent wording before publishing.

Page 1 · Your information

  1. Patient NameText · Required
  2. Date of BirthDate
  3. Treating DentistText
  4. Procedure DescriptionLong Text
  5. Teeth / Areas InvolvedText

Page 2 · Additional details

  1. Alternative Treatments DiscussedLong Text
  2. Post-Procedure Instructions ReceivedLong Text
  3. Treatment Plan Consent (Multi-Visit)Consent Agreement
  4. Patient Questions AddressedLong Text
  5. Patient SignatureE-Signature

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Dental Treatment Consent, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

Related templates

All templates

Questions

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

Yes. You can add, remove, reorder, or reword any of the 13 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Patients open a secure link from an email, a text, or a QR code and complete the form on their phone, tablet, or computer before their appointment. No app download required.

Yes, on Front Desk. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Yes. The Dental Treatment Consent works on any device. Most patients complete intake forms on their phone, so every template is built for small screens first.

Send it before the visit, so patients arrive ready.

Add the Dental Treatment Consent to your account and make it yours in a few minutes.

Cancel anytime · BAA included

Use this templateBook a demo