Services Consent

Introduction

Teledentistry is the delivery of dental services, through the use of technology, when the dental provider and patient are not in the same physical location. Electronically-transmitted information may be used for diagnosis, treatment, follow-up and/or patient education, and may include any of the following:

By creating an account, I understand and agree to the following:

Patient Acknowledgement and Consent

I agree to have the telemedicine session (either for myself or as I am the parent/guardian or substitute decision maker for another patient) audio taped, video taped, messaging saved. I understand the following:

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