PIONEER HEALTH DENTAL

Primary Tooth Extraction Consent Form - Children

Primary Tooth Pulpotomy Consent Form - Children

Implant Consent Form - Adults

Root Canal Treatment Consent Form - Adults

Tooth Extraction Consent Form - Adults

Wisdom Teeth Extraction Consent Form - Adults

Chairside Tooth Whitening Consent Form - Adults

Do You Know Your Health Care Rights?

ACCESS

You have a right to Health Care.

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SAFETY

You have a right to safe & high-quality care.

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RESPECT

You have a right to respect, dignity & consideration.

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COMMUNICATION

You have a right to be informed about services, treatment options & cost in a clear & open way.

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PARTICIPATION

You have a right to be included in decisions & choices about your care.

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PRIVACY

You have a right to privacy & confidentiality of your personal information.

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COMMENT

You have a right to comment on your care & to have your concerns addressed.

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For more information visit www.safetyandquality.gov.au