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Our mutual patient, as noted above, is scheduled for dental treatment at our office. Medical clearance for dental treatment patient’s name:_________________________ d.o.b:______________ date of last physical exam:_____________ dear physician: This article presents recommendations related to patients with certain medical conditions who are planning to undergo common dental procedures, such as cleanings, extractions, restorations,. Is the patient an acceptable candidate for..
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This article presents recommendations related to patients with certain medical conditions who are planning to undergo common dental procedures, such as cleanings, extractions, restorations,. Medical clearance for dental treatment. Our mutual patient, as noted above, is scheduled for dental treatment at our office. Please review the reasons checked below.
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Your patient (listed above) is being scheduled for dental procedures that may require the administration of general anesthesia or iv sedation. ____________________________________ our mutual patient, _____________________________________________________ is scheduled for dental. I understand that during the course of treatment, unforeseen conditions may Our mutual patient, as noted above, is scheduled for dental treatment at our office.
Medical Clearance For Dental Treatment Patient’s Name:_________________________ D.o.b:______________ Date Of Last Physical Exam:_____________ Dear Physician:
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