ashevillesmiles.com - General Consent for Treatment

GENERAL CONSENT FOR TREATMENT
Here, at Asheville Smiles Cosmetic & Family Dentistry, we strive to provide world class dental care with hometown heart. Our practices respect the rights of all individuals while also treating all patients equally. We ensure that each patient is given a complete, detailed examination so that we can recommend the most beneficial, customized treatment for each patient.

I First Name Last Name , agree to treatment provided by Asheville Smiles. This includes the following, but is not limited to:
- Examinations
- X-Rays/Radiographs
- Comprehensive Periodontal Examination
- Extraoral examinations
- Intraoral examinations
- Treatment recommendations
- Emergency Dental Care or Other Emergency Care
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