Refund of Money and Release_of_Liability |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1RhHZ4QEAroRloUqAgSKknY3jIuyH9QnOjNXE26t7YB0/edit?usp=drivesdk |
Termination Letter Due to Non Compliance |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1MmKIeAom4rpJekLnCwgYIguuUBiPMA4mXD7HgsULqM0/edit?usp=drivesdk |
All-On-4 Pre-Op |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1GJ6FunkmkIn8dXKLC2S3oyRB2HyuU8-ezy4YSqrZeKs/edit?usp=drivesdk |
Pt info- SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1KIxyWuo0A2mmz_yaWwY6KW95x8y9E6QGRrl7T9P8bvA/edit?usp=drivesdk |
Office Policies- Spanish |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1-64NBrmSQWogC5EkpjuUcmBH6lcC3coL5FIe2eHU2aU/edit?usp=drivesdk |
Medical Hx and Dental Hx- Spanish |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1gqL8yWKtBSFnJGZNKtvnDwFIrLwD7LtIvuwI1paWBoM/edit?usp=drivesdk |
Radiation Protection Program |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/12A7ai6VEyWmMMi-FxGc6oL81ghDGMjGabKaoM0a-ovY/edit?usp=drivesdk |
NP Paperwork Pt Information |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/10q1BewzoVwvNN4tfnnm_6uaqvHOi978LFxVIxWiyvd4/edit?usp=drivesdk |
NP Paperwork Medical Hx and Dental Hx |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1peq_JP9B-cNYjpBcgw5NypiakC-D8YK4G4YHYQuXq4M/edit?usp=drivesdk |
All on 4 Post Op |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/12qb4YDhkteHRpuMM74GNs5yawuxymA0X8BQencSUQkY/edit?usp=drivesdk |
Dental Records Release Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1TcEqsrP5dq6gU_mJVxKOJy-Hz0ddcKe32Ov7PHte2CM/edit?usp=drivesdk |
Orthodontic Deband Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1tSxcrOqw01acloMqOyEk9SVCK9KA9wjFXNyVHEod3Sc/edit?usp=drivesdk |
Xray Refusal Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1DW-4bTzom04O51WoMrpfgUKSxgm5dT2q8l7E2sbzs5s/edit?usp=drivesdk |
Sinus Augmentation and Bone Regenerative Surgery Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1RhGyKi2YEmIn8D8tqh3R7hQVmoOEyLY-wMuAyQns4Js/edit?usp=drivesdk |
Patient handout Pre Sedation Instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/174Uj56TkYQr8-8frYqCR8kb8qB9ndtf9pdvDBRZZtEY/edit?usp=drivesdk |
Patient handout describing SRP appointments-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1QDCuulQ2u0jUHI5M2CzQXPi-j0CLDS0HdTe0fH-LeiQ/edit?usp=drivesdk |
Patient handout describing SRP appointments |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Sg4HZJSUYhGNgbaQrKJxQSfTKqbJV6XQsdahcJi75JI/edit?usp=drivesdk |
Patient Handout SRP Post Op Instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1I_WWCT6HPF8DuOThgmkqve4lhHWY65_SqaRdMolbB_A/edit?usp=drivesdk |
Orthodontic Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/17kv2prd8uEkNJ-Z8tdqMqlDpQ7pf8zErHuLLB1QSESA/edit?usp=drivesdk |
Patient Handout Orthodontic Home Care Instructions-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1OGGMtucrTZ_KJCMg7bwMXK7HyAVMly1aSrzK4i8Z_R8/edit?usp=drivesdk |
Patient Handout Periodontial Systemic Links-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1MqE97XJDoRAlcXWyXzxuFF_mfgKPWUO7bSLBf3cxogE/edit?usp=drivesdk |
Patient Handout Post Op Oral Surgery Instructions-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1UXCZcd3mpKR3av_EL7ah8tgGNXWgdIkllDp84qaC0bM/edit?usp=drivesdk |
Child Support Order New Hire Paperwork-AZ only |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1asPQQnb_dyt3GB_h7Qrx_6GooDF_7lUienCuvzI6zTc/edit?usp=drivesdk |
Patient Handout Cavity Free Checkup |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/18nIRuQQrHCcPzkrF2nHM7sfEYd4nGRIdzFqxBaIfflA/edit?usp=drivesdk |
Medical Clearance |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1L7V3g0cChIj1adTRI5Bb-TYmv0Q9yHeZ4PRqjnrFGWQ/edit?usp=drivesdk |
NP Paperwork Medical History-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1qrCXMPws75cJHg1MlTxGnpQCZwM-f6GbhP_9Pjh5v08/edit?usp=drivesdk |
NP Paperwork Medical History |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/134341IoIkNwM0EnqlxDadDeVa6VKSO8x2RNLaFII66Q/edit?usp=drivesdk |
NP Paperwork Office Policies-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1p_nMWx5zdfccDMpwCXQRuBpv2m4TvxcmPmCWmJF8qqA/edit?usp=drivesdk |
NP Paperwork Patient Information |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1y72ocx-_IC4AK2B8q59f7-119UNrEK_bduVnczM9qC0/edit?usp=drivesdk |
NP Paperwork Notice of Privacy Practices |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1zS665QwhXdZANwn8sWlfRID6TaU4FFRiLe18WCNaMDM/edit?usp=drivesdk |
NP Paperwork Notice of Privacy Practices-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1DMQAq1nzqfMGJbSRJF_78pXEbM98XQbbbyvmqjmF1S8/edit?usp=drivesdk |
Patient Handout Implant Post Op instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1fpQxJeL4Lf7jq5Xm6sDUWFj9KVWP8_QCXNpne_2idTk/edit?usp=drivesdk |
PRF Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1lOvOiHHLInZSLsU79nM1_bRZIrhUGiuvrzJA_wrRx34/edit?usp=drivesdk |
Patient Handout Implant Post Op Instructions-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1dyK6bvFtd5tykiyfWaesVM-xyJfQs_PPS08vD3GwF4c/edit?usp=drivesdk |
Surgical Implant Placement Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/19T01j_2HkFnF_0fct4dmrg6SJ1Ti4i9w_v731U1IkO4/edit?usp=drivesdk |
Implant Removal Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1VxWPY5MdfaZr1MtumXZx2W03jTIHBU1PJSTPwhPbIPM/edit?usp=drivesdk |
Extraction Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1jC9SEEWH6I0TQXEry66gKs-G-SzXzZZoyA6s0HYddIA/edit?usp=drivesdk |
Endontic Root Canal Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1lbmNUHLcNoiY1j5IqlJO_LE5XNsHU65zOw82CHMohZM/edit?usp=drivesdk |
Office Instruction Drug Log & Sedation Flowsheet Info |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1kxpHYz35KfopL70J1-P6rr_pjlzvUQwjkN4RYj0SUK4/edit?usp=drivesdk |
Patient Handout Boot Camp Instructions StellaLife |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1RdI2MVRK1RAzkdCK6-BE2-T9PHFUi8ORRbQqRGLEJ-k/edit?usp=drivesdk |
Patient Handout Boot Camp Instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1yX6fq1S_VaLl0YlxqAQcE4VOjLYmgIOeM–8q0Co2kU/edit?usp=drivesdk |
Management EOM Checklist updated 10-01-17 |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1yUnMH40Ye9f3TT6XK73Is5qr9_e8JzfNuhQaldxOmfI/edit?usp=drivesdk |
NP Paperwork Dental History |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1khq5kxa_UkL-ekldnkBWxLhTrqbI6Qilq2HPtAw6DcQ/edit?usp=drivesdk |
Patient Handout Conscious Sedation Prescriptions and Instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Of8L-zEzl51V5mjgqEfdz7ON56sF6sR2KZq7uXqYeHw/edit?usp=drivesdk |
Management Ins-Notes |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1BUtzFKoABJqqzQaOX3mcDVzdZJ0aw3t-abMh2cCNrV4/edit?usp=drivesdk |
Management Huddle Prep Each Position |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Huql6d_i-TLz6mI3EeqIxdyxLBxCJFNnjjQ1fs0vkGs/edit?usp=drivesdk |
Crown Acceptance At Delivery Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1mIRD2XFq1iJUyEIAiCLkC0JpLZxVo_4QJHVW0CuIno4/edit?usp=drivesdk |
Patient Handout Arestin Information |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1H7zPvcPvDyzePSJXSc6jNBlB5wTJyDwUfphORVrj_78/edit?usp=drivesdk |
NP Paperwork Patient Information-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1LuGQnkC7tY-TG1ybYR4P8sEoMwimlINoU6y2qp-gx4c/edit?usp=drivesdk |
Core Emergency Drugs and Doseage V2 |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/197M0tJkPQGmPT6HI_o5whzEZ9eBXJoiq5uuiLo1Y8io/edit?usp=drivesdk |
Refund of Money and Release_of_Liability |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1lE3X_U5GSvko8228ayoS1LkXvORaf_0fMH2Hv_Gic1s/edit?usp=drivesdk |
Patient hand out describing SRP appointments-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/16Dzqg5h24vc0N9O_id591pW8kDTfDWk5PG_eN59Ppsk/edit?usp=drivesdk |
Patient Information NP forms |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1lzOqZD75NcbGA8P_bMXecH0UiTsv8Y6SIskkN6wMZX0/edit?usp=drivesdk |
Removal of Amalgam Fillings Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1ltJpDquQfWBT76ru9245ngQSKJV6ms02E5-WwJuhhNg/edit?usp=drivesdk |
Refusal of Periodontal Treatment Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/14PrVnJF5vViG7UxXjgP_Y680YAZuAtr2BfG8qcqKce0/edit?usp=drivesdk |
Patient's Info |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1cuC199G2uzbyiNlITLbZXJbfs-JsK9EPedr2Air72DU/edit?usp=drivesdk |
Appeal-for-Build-up-to-be-considered-part-of |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/10ozWBwtkON1qQ6qpDkIuMTYTVAyBA5OAImvnx23xk5o/edit?usp=drivesdk |
Arestin- Pt Handout |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1IYDSUaMpfZUJVcmXFlsq9tUpE4JRv2ZtOojMHzAjvSQ/edit?usp=drivesdk |
Bonegraft Consent SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1OQW4vuenYDY58jWAzrlcD4le__wvJr5ypksFund3FqQ/edit?usp=drivesdk |
Boot-Camp-Instructions-StellaLife |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1jPqNtcYvMzzVV4wkXyhA6Nw4nAOoVeUg12lBbjkpKB0/edit?usp=drivesdk |
Cavity Free Checkup- Pt Handout |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Gopu_knUyX8MOZAakU3cwd2HP8Q-1NybQaoLomgTuOk/edit?usp=drivesdk |
Chart Deactivation Checklist |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/14GdkV1mYtTixwLfiLHdsttnn_Kj7fU2sCzx3c3ONLNY/edit?usp=drivesdk |
Child Support order- AZ only |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1XI8DuEyvgEfK-rWi_qW5-X9lp1UGo5nkYMWvPakXRTk/edit?usp=drivesdk |
Conscious Sedation Consent SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1E4K_HvQcvVJE79Cc1Up6eNZH1KL-mW7KP6JZ3O3ItS8/edit?usp=drivesdk |
Conscious Sedation Prescriptions and Instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1N1rK_SEy4T0IN26kcQF9WC-DIkdJb7SR-H29GULxOeo/edit?usp=drivesdk |
Consent Form General Dentistry |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1EM9pwstUJs5NQJG-zEbtaZqWFsJ7e_fwVvp5xiP0d4I/edit?usp=drivesdk |
Core Emergency Drugs V2 |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1QmcDsTifMsxyglWSoo3rIqMccP0sUxGizfjVlONZt98/edit?usp=drivesdk |
Credit Card Authorization |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1zisFDPWOIE0ehsP80FmiYFYPGOsv5tp9SDr83RziorU/edit?usp=drivesdk |
Crown Acceptance Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Id9klRwDKs5D2SJ3IDpqmzocCdBn6-vB2ztVsp5ARMg/edit?usp=drivesdk |
Deband Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Wbi6S6k-680D1z6ZqsdIMc8f9BHgtICZ70jc4TKWU5g/edit?usp=drivesdk |
Dental History |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1XOTWgJI-44r8zuW0Y6gqctRCJZusmHpvEeTCFNfls9E/edit?usp=drivesdk |
Dental-History-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/10F4CWkMGjEs6CRBfMoH10pnIgRIDjb_tD7onGCOEX4A/edit?usp=drivesdk |
Drug Inventory Log |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1v1NGN5IRvavAxWsKqE_2JbkrbZE8ldNn6fUk-R0Zwd4/edit?usp=drivesdk |
Endo Consent SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1CT9p3OwKQnp_5-_-dFVzhC3mKi-fRx8Gm8rtXXxROvo/edit?usp=drivesdk |
EOM-Checklist-updated-10-01-17 |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1-ylPzKl6tr7V354xQolujfn_OUxRWhTMiyA1mfflqb0/edit?usp=drivesdk |
EXT Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1JEDpYpxbuPEZLxRdQlgDzKMsEX-l51XCvtCp-Qyb0vc/edit?usp=drivesdk |
General Dentistry Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1bdER1n-z1TawVDq_KktP6_OLpzNbg-wmDMDOfqX1lsg/edit?usp=drivesdk |
Implant Consent SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1F4HdWDc0OGphXcRYswVj3FeZYaocyRuV-qPZ_dA3_4Y/edit?usp=drivesdk |
Implant-Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1x9c8M5is72c54lUrjftWlk6auD7asgY1oTunYFP0CqA/edit?usp=drivesdk |
Implant-Post-Op |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1nITPXMvT4GJrYLWrQze5rL8xqzMGlqZPR-DOgVH3YhU/edit?usp=drivesdk |
Ins-Notes |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/17KGU6kfP2pfM0Kc472Nl4ZctVzcfkWaxW80BSDgNPYI/edit?usp=drivesdk |
Removal of Amalgam Fillings Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1EE_yAV53GRUBiI_25o4et4lYy6J-TXd8a_StHFTDJt0/edit?usp=drivesdk |
Medical History |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1QA2cdPU1O8A5XMONmoMIOfjB4ciNSLYCht1PYT7fFCo/edit?usp=drivesdk |
Medical-Release |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1eowKOa7sQOYIYHy72Ewt86PHZwTDQiYlDV-Zj4vuzuY/edit?usp=drivesdk |
Notice of Privacy Practices |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1I5Od9r_ERAqRqhLSu7Hn0lts4_qi1iLfxIRn3t_L_IU/edit?usp=drivesdk |
Notice-of-Privacy-Practices-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1P3IhifF0mvfh7ZGkS6pZ2TtqkgyGxRvwtyy1j2AHjjk/edit?usp=drivesdk |
Office Policies |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1c_yx0Lxqygv-qocB4RKtICigRyQB8uggdKfMyCnb3Ss/edit?usp=drivesdk |
Office Policy -SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1sO18ZllA6QdrnkyNVP8p66RFTRBiXYOEmYyppoXhaK8/edit?usp=drivesdk |
Ortho Consent-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/13h3ix4EDvvOhzEcWV4n14E15hKkNcGlncyWPWduDAsE/edit?usp=drivesdk |
Ortho-Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1CrHR0M3n6wiUw9pE_8eo8gzUXR-PMLWLAV-2pN3M7eI/edit?usp=drivesdk |
Orthodontic De-Band Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/14KtSIuf30hPt-5D4Z8deqbrwD9eQQnbbsy_c4-4ATaQ/edit?usp=drivesdk |
Patient's info-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1py9gwiMHPY73Fcny7JjTFgsaKzZk6oULDMlQ-xiQw9Y/edit?usp=drivesdk |
PostOp-Oral-Surgery |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/19DxM8hDAaFayE1IiPeBNPUvtrZJ-yJ6LF5Qy37cj9XU/edit?usp=drivesdk |
PRF-Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1sThwbl-d3qXIoVHt2AA8rgJjK7DNPmkAzhPdbY8ILPM/edit?usp=drivesdk |
Record Release Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1afODhnH6OmdxuxC8OCZ1hL7QLKPgBPVsBtYgpzPXitc/edit?usp=drivesdk |
Refusal of Perio Consent SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1ML4Yxtgzzll8_CaVwtI7quV0uucCF4nA_vUzosy0nrI/edit?usp=drivesdk |
Refusal of Periodontal Treatment Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1mez4LwEnSPt-im60AdCJsPeIH6eVK5APvIgIFWPm5Hs/edit?usp=drivesdk |
Release_of_Liability |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/11Snxt7cK7dbEuoM6D1dWafQeelfvfBRlN20XaUD7n18/edit?usp=drivesdk |
Scaling-and-Root-Planning-Pt-Handout |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1iqj9GCF5fZRdVJ_alMKJpZx-mwEeCo4xEXvLU1_wEOA/edit?usp=drivesdk |
Silver Diamine Fluoride Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Oo2eDiD2qerYkOauvYKC2x-mu47MFGaG-Ms9ME9p0gw/edit?usp=drivesdk |
Sinus Augmentation Bone Regenerative Surgery Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1m4Kztvp-CXfA4x6IWKUee8DuyC6-lJ5IsjKqp3JLRXE/edit?usp=drivesdk |
Surgical exposure of an Impacted Tooth Informed Consent form |
Uptown Family Dentistry & Orthodontics |
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https://docs.google.com/document/d/1DXkLB5QjersQfXltvFSAri5vK6mG9TdMCHQCDShB_Yc/edit?usp=drivesdk |
X-ray-Refusal |
Uptown Family Dentistry & Orthodontics |
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https://docs.google.com/document/d/1571Gz-Ux5GUB5gyFeQtA3RlQbo_Mv16TeUNoD5EE5yk/edit?usp=drivesdk |
Xray Refusal SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/13lQkWB1keVPpL3IHBgnQVF_RyLMt8IIr_LJeZh6qTuY/edit?usp=drivesdk |
Auth for CC on file for treatment plans |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1eOtcbKLXwestI-EVrIC3dxYZSOTH5a-bzqfRPsqezL8/edit?usp=drivesdk |
General Dentistry Consent SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Unq4xe0oqcH-Yp1JvrCuKID6BDQjxPvwuIqWUFNiVm8/edit?usp=drivesdk |
Debnd Consent SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1IAPJG9bUg5sQOeRvUYldX85HD5LXSZDQIlLht8VbzD8/edit?usp=drivesdk |
Employee Orthodontic Consent |
Uptown Family Dentistry & Orthodontics |
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https://docs.google.com/document/d/1tYps2aMLDdW1Lz2hPIbjHQekbiktxbiZKOdTj8GVOCQ/edit?usp=drivesdk |
Endo Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1j3p4VU-ztprVFxZ26mQ7GTyoMdGmRuvBof-DnRi84Hk/edit?usp=drivesdk |
Ext Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1FtqlNQsmwEUvTrRYbZbUospo4UdK4n8yHIY7bprDlgc/edit?usp=drivesdk |
Implant Removal |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1fWlnyLuNcJavNfvVkU32UWZwOYLPgoO-7ctRG9QU5dc/edit?usp=drivesdk |
Implant Post-Op Instructions SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1FV0L2P4-WLVjSsf3MWHB72jVJslSfOQdWonKHUmW-fg/edit?usp=drivesdk |
Lendingpoint Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1e3noVA9HMgLzrwB5FeQ4SxIePmEW5_ywsJ-9MxQF42w/edit?usp=drivesdk |
Medical-History-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1GbIjSTYJjQGIM8hU-gWsxdnGovRwmxgYC34YnFZpkq0/edit?usp=drivesdk |
Minimal Conscious Sedation Consent |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1wpsjhYML1s42FP58C4kfr6d3JZRABP-j6UA24VZjm3U/edit?usp=drivesdk |
Orthodontic Care Instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1btY1wHSNMJlNx06u8xZwQtItfF-3woYBkM2mQG0dBaw/edit?usp=drivesdk |
Ortho Care Instructions SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Kq46A_YSz_rFFhoe-uoHwad9mY-EObc07B2DeFN9_44/edit?usp=drivesdk |
PostOp Oral Surgery-PRF SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1ZCkNVfZP0MB7MXkzy9ufKj9yzV25vaW61drE9pHRbWY/edit?usp=drivesdk |
PRF Consent- SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1gVN7YW0jGYlEXs45wgKBorxsBpf56ySJ4DPHCCXTM60/edit?usp=drivesdk |
Records Release- SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1OQMCfNq8WyPfWClKLUySxeiHUrvevlIoWZ-Ej-ljtlo/edit?usp=drivesdk |
Rmv Amg Fill SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1QaWFQai0R6t8m2TE2XIWWThxl_Stt-0gepwmrNfuDFw/edit?usp=drivesdk |
SSDP-Consent for NM offices |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1Wjecj2C87EBYYkuRnqAY3-xVIN6rMsYawdP55JJNfYA/edit?usp=drivesdk |
SSDP-Consent for AZ offices |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1TaULlGz2wf7Fo1x4F4nBslXN2q4dAhJ7jx5vZVOPA1g/edit?usp=drivesdk |
Sinus Augmentation SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1pKVup18ziAZnFuqn4dIMzxIYo2LSI5aFOj7ruj7_uKk/edit?usp=drivesdk |
Surgical Exposure of an Impacted tooth SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/13ytI2AKAZLwXyi4fAgtCLP_XFtKDPWIvyGCipw6TNVA/edit?usp=drivesdk |
Huddle Prep |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1lzdis7ty0e3dCwlsX9qVFKfmU8hpfKwxKtdercS7irY/edit?usp=drivesdk |
Boot Camp Instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/17QaHxfHYdFk-HXHAdRxFtMnk5e9U7nL26TxIdqr2-mU/edit?usp=drivesdk |
BASIC REMINDER LIST FOR FRONT DESK STAFF |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1SLy_NzJg3xsGsYmXlUbRZ2e-WCKbQrwDqjZR5SbHGyc/edit?usp=drivesdk |
Drug Log & Sedation Instructions |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1zFpzYKkvfkR3v9n_CRzWmwnis56J1K-QH3JlZFkIors/edit?usp=drivesdk |
Sedation Flow Sheet updated 9-25-17 |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1rRGW7scqbuBRIhnHyrmf5hkXzdF0AMR5qKLwcCBONl0/edit?usp=drivesdk |
Patient-hand-out-SRPs |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1rLH4nXI3ygy44zaUPdaOCCgEX5GCcTSzFwgZ4bG3iFE/edit?usp=drivesdk |
Pt hand out SRPs-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/11bhaeKol2FUmsNupZRJjxM6rwm7wRFUWSl3HXg_A_EI/edit?usp=drivesdk |
Periodontial Systemic Links-SP |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1AV3f3XOsXw1_XFowMpyVv8gSHz4s5lMeMY6qUlVw7Ws/edit?usp=drivesdk |
Periodontial Systemic Links |
Uptown Family Dentistry & Orthodontics |
|
https://docs.google.com/document/d/1PRGhIavNlxeti5DM4wqILnNrBuBSu5MbEui1ImLwET0/edit?usp=drivesdk |