Perio Consent

Question 1

2 types of forms on clinic

Answer 1

1. patient agreement form

2. consent form

Question 2

3 sections of patient agreement form

Answer 2

1. simplified diagnosis
2. self care plan
3. agreement statement

Question 3

4 sections of consent form

Answer 3

1. info about perio treatment
2. risks of perio treatment
3. diagnostic statement
4. consent form - signed by patient and clinician

Question 4

what does the patient record booklet contain

Answer 4

patient agreement form
treatment consent form
MPBs charts
6PPCs