Privacy & Clinical Records Consent
I understand my dental/medical information will be stored in secure paper and electronic systems. I consent to its use by authorised staff for treatment, administration, and continuity of care. I understand that information may be shared with other healthcare providers as necessary or as required by law. I may request access to, or correction of, my information at any time.
Medical Declaration
I confirm that the information provided above is true and complete to the best of my knowledge. I understand it is my responsibility to inform the dentist of any changes to my medical history.
General Treatment Consent
I consent to routine examinations, X-rays, photographs, and treatment as discussed with my clinician. I understand I will be informed of the risks, benefits, and alternatives before proceeding, and that I may withdraw consent at any time
Financial Consent
I understand that payment is required in full on the day of treatment. I acknowledge that this practice does not offer accounts, credit, or payment plans. Fees will be explained before treatment proceeds.
Patient Declaration
I confirm the information I have provided is true and complete. I will inform the practice of any changes to my medical history.
