Patient-release form

Oct. 1, 1997
ProSystems, in collaboration with the National Society of Dental Practitioners, offers a series of patient-release forms designed by Burton R. Pollack, DDS, attorney-at-law, one of the nation`s foremost dental-risk managers. The series consists of: Release from Liability Against Dental Advice, Release of All Claims, Request for Release of Health Information and Medical Consultation Consent Form.

ProSystems, in collaboration with the National Society of Dental Practitioners, offers a series of patient-release forms designed by Burton R. Pollack, DDS, attorney-at-law, one of the nation`s foremost dental-risk managers. The series consists of: Release from Liability Against Dental Advice, Release of All Claims, Request for Release of Health Information and Medical Consultation Consent Form.

Sample copies of these forms, and an accompanying free guide describing when, why and how to use each of the forms may be obtained by calling ProSystems at (800) 232-3366.

Sponsored Recommendations

Clinical Study: OraCare Reduced Probing Depths 4450% Better than Brushing Alone

Good oral hygiene is essential to preserving gum health. In this study the improvements seen were statistically superior at reducing pocket depth than brushing alone (control ...

Clincial Study: OraCare Proven to Improve Gingival Health by 604% in just a 6 Week Period

A new clinical study reveals how OraCare showed improvement in the whole mouth as bleeding, plaque reduction, interproximal sites, and probing depths were all evaluated. All areas...

Chlorine Dioxide Efficacy Against Pathogens and How it Compares to Chlorhexidine

Explore our library of studies to learn about the historical application of chlorine dioxide, efficacy against pathogens, how it compares to chlorhexidine and more.

Enhancing Your Practice Growth with Chairside Milling

When practice growth and predictability matter...Get more output with less input discover chairside milling.