Consent Forms

INFORMED CONSENT FOR ROOT CANAL THERAPY

CONSENTIMIENTO INFORMADO: Tratamiento Endodóntico (canal de la raíz)

INFORMED CONSENT FOR IMPLANTS

CONSENTIMIENTO INFORMADO PARA IMPLANTES

Delivery

Delivery- Spanish

Extraction of tooth which can be saved consent form

Extraction of tooth which can be saved consent form-Spanish

INFORMED CONSENT For Restorations, Crowns, and Bridges

INFORMED CONSENT For Restorations, Crowns, and Bridges- Spanish

INFORMED CONSENT FOR Partial and/or Dentures

INFORMED CONSENT For Partial and/or Dentures- Spanish

INFORMED CONSENT FOR ORAL SURGERY AND ANESTHESIA
CONSENTIMIENTO INFORMADO PARA CIRUGÍA ORAL Y ANESTESIA
Medical History
Historial médico
Office Policy
políticas de oficina
Financial Policy
Política financiera
Patient Information
Información del paciente
Teledentistry – Electronic Consultation
HIPAA Notice of Privacy Practices – Spanish
HIPAA Notice of Privacy Practices

Prophylaxis, Gross Scale & Deep Scaling (Cleaning)

Prophylaxis, Gross Scale & Deep Scaling (cleaning) – Spanish

Informed consent for Whitening/Bleaching Treatment

Informed consent for Whitening/ Bleaching Treatment – Spanish

INFORMED CONSENT Inhalation Sedation (Nitrous Oxide-Oxygen)

INFORMED CONSENT Inhalation sedation (nitrous oxide-oxygen)- Spanish

Tooth extraction

Tooth Extraction- Spanish

INFORMED REFUSAL OF TREATMENT

INFORMED REFUSAL: Periodontal scaling and root planning

INFORMED REFUSAL: Periodontal scaling and root planning- SPANISH

Medical History Update

Medical History Update-Spanish

Informed refusal of treatment-spanish

Bone Graft Consent Form

Dr. Bader Abdeen Consent Forms

Consent for Periodontal Surgery

Consent for Ridge Augmentation

Consent for Gingival Graft (Gum Graft) Surgery

Consent for the use of Bone Regenerative Procedures

Informed Consent Bone Graft and Sinus Lift Surgery

Consent for the Placement of Dental Implants on

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Breaking News: 

Effective March 21, 2020 Governor Greg Abbott has announced an Executive Order requiring all Texas-licensed healthcare professionals (including dentist) postpone all procedures that are not medically necessary until midnight April 21, 2020. Antoine Dental Center will not be seeing regularly scheduled procedures until then.

Effective March 25, 2020, Stay Home Work Safe order goes into effect in Harris County, Houston TX.

Antoine Dental Center will be operating under the Emergency Services Sector from 11:00 am - 2:00 pm on Mondays, Wednesdays and Fridays.

Emergency Dental Services and Urgent Dental Care are considered essential. Click here for more details.

Noticia De Ultima Hora:

A partir del 21 de abril de 2020, el gobernador Greg Abbott anunció una orden ejecutiva que requiere que todos los profesionales de la salud con licencia de Texas (incluyendo dentistas) pospongan todos los procedimientos que no sean médicamente necesarios hasta la medianoche Abril 21 2020. Antoine Dental Center no verá los procedimientos programados regularmente esta fecha.

A partir de Marzo 25 2020, la orden Stay Home Work Safe (Toque de Queda) entrará en vigencia en el condado de Harris, Houston, TX.

Antoine Dental Center estará operando bajo El Sector De Servicios De Emergencia de 11:00 am a 2:00 pm los Lunes, Miércoles y Viernes.
Los Servicios Dentales De emergencia y la atención dental de urgencia se consideran esenciales. Haga click aquí para más detalles.