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Teeth Whitening
Information and
Informed Consent Form

Table of Contents

Introduction
1. Who are the best candidates for whitening?
2. What types of whitening are available?
3. What should be expected upon completion of professional whitening?
4. What are the potential side effects of whitening teeth?
5. What sort of maintenance and relapse can be expected?
6. What are some alternative treatment options?
7. What are the special considerations?
Photographic Release and Authorization & Release

Printable Version of the Teeth Whitening Informed Consent Form


Steve Marinkovich, DDS 5225 Tacoma Mall Blvd, Suite E-104 Tacoma, WA 98409
Phone: 253 474-3223 Fax: 253 473-6762 Email Us

© 2008 Steve Marinkovich, DDS, All Rights Reserved
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