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  • Informed Consent for Drawing Blood and the Use of Platelet Rich Fibrin (PRF)

  • PRF is obtained from the platelets of my own blood. The platelets contain growth factors that help stimulate soft tissue healing, decrease the rate of bone loss, and improve the overall time taken for recovery

    The PRF procedure has been used in the medical field since 2001 and in dentistry since 2006.

    I agree to having several vials of my own blood drawn by my dentist. The vials of blood will then be placed and spun in a centrifuge to concentrate and activate the platelets to make them release their growth factors.

    The blood used is my own. All blood drawing materials, needles, and all the centrifuge processing containers, are single use and are disposed in our medical waste container after each patient.

    Each PRF procedure uses it's own sterile materials and supplies.

  • Possible risks or complications:
    • Unable to collect blood due to size/reaction of blood vessel.
    • Mild bruising/bleeding around puncture site
    • Mild ache around puncture site
  • I have had the opportunity to ask questions before signing this and understand I can ask questions later, as well. After deliberation, I have read this document consent to the PRF process.
  • Date:*
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    2 digit month, 2 digit day, 4 digit year
  • CYPRESS DENTAL
    1845 West 4th Ave, Vancouver, BC, V6J1M4
    Tel: 604-336-9360
    www.cypressdental.ca
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