COVID-19 Emergency Dental Treatment Consent Form

Use our free COVID-19 emergency dental treatment consent form to collect patient consent and electronic signatures. Simply customize the template to reflect your organization’s branding, and add or change any fields as needed. Set the form’s notifications to automatically alert the appropriate systems or staff members whenever a form is submitted. Then embed it on your website to begin processing consent forms online. Please note that our Enterprise plans can be made HIPAA compliant.

COVID-19 Emergency Dental Treatment Consent Form

Use our free COVID-19 emergency dental treatment consent form to collect patient consent and electronic signatures.

Use This Template