Dental Clearance Form
A dental clearance form is a medical form used to obtain permission to make dental impressions from a patient. A dentist uses this form to take an impression of your teeth for future procedures. If you’re a dental office manager, use a free Dental Clearance Form template to collect patient information online! Just customize the form to match your dental office’s look and feel — then embed it in your website, share it with a link, or print it out to collect with a tablet or computer.
We’ve made this Dental Clearance Form easy to fill out for your patients, with simple checkboxes and text boxes wherever they need to sign. With Jotform’s powerful integrations, you can even sync submissions to your practice management system like ADA10 or any of your cloud storage services like Google Drive, Dropbox, or Box! What’s more, you can use our free Dental Clearance Form to collect patient information.
These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.
These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.
