Forms Library

PSIC does not take a position regarding informed consent, or formally review or endorse any particular documents a practitioner is considering using in their practice. Informed consent is a process. It is the practitioner’s responsibility to know and follow the standards of care and ensure their patient is properly informed about, understands, and consents to treatment. 

Documents containing sample informed consent language are being provided here to help guide the practitioner in creating their own documents which meet the needs of their practice. Rules and laws may differ between states. PSIC believes the practitioner is best served by contacting a health care attorney in their state for advice on the creation of any document they might use in their practice.

For further detail on this position, as well as the elements of a well written consent form, please review our full statement.

Name of Form	Type of Form
Statement About Informed Consent for Dentists	Form
Apicoectomy	Form
Bisphosphonate Drug Therapy	Form
Crowns & Bridges	Form
General Dentistry Care	Form
Implant Surgery & Prosthetics	Form
Informed Refusal	Form
Nitrous Oxide Sedation	Form
Oral Sedation Anesthesia	Form
Oral Surgery Extractions	Form
Orthodontic Treatment	Form
Pediatrics (Children's) Dentistry	Form
Periodontal Surgery	Form
Root Canal Therapy	Form
Sample Dismissal Letter	Letter
Americans with Disabilities Act (ADA)	Policy
COVID-19 Dental Informed Consent	Form
Informed Consent During Public Health Event	Form