top of page
Abstract Shapes

SAFETY FORMS

SAFE AND ELECTIVE DENTAL TREATMENT NOTICE AND ACKNOWLEDGEMENT OF RISK FORM

Our top priority is the  safety of our patients, staff, and community. This document is to serve as information to acknowledge and understand regarding safe dental care.

Print or Submit, but be sure to do one before your next visit - Thank you.

DOWNLOAD A PRINTABLE COPY OF THE FORM
bottom of page