Consents

New Patients' Assessment

In order to schedule your Initial Assessment appointment, we would require you to complete the Confidential Medical History.

Patient Number will be required to complete this form. It can be found on top of any communication sent by our Practice. If you don't know your Patient Number, please contact us at reception@orthwise.co.uk. Any submitted forms will be rejected without this number.

Once completed, you will receive an email asking you to verify this is you. A member of our reception team will contact you to allocate you an appointment on our new assessment days. These will only be available on certain days due to the current situation.

A member of our Reception Team will contact you to allocate you an appointment on our new assessment days. These will only be available on certain days due to the recent pandemic.

Confidential Medical History

The second form - COVID-19 Orthodontic Treatment Consent Form - will also need to be completed, 48 hours before your appointment. If the form is not completed on-time your appointment will be cancelled automatically.

Patient Number will be required to complete this form. It can be found on top of any communication sent by our Practice. If you don't know your Patient Number, please contact us at reception@orthwise.co.uk. Any submitted forms will be rejected without this number.

At this point we only allow one Parent/Guardian or Carer to attend the Initial Assessment appointment only with the child and we kindly ask you to wear a face covering and adhere to social distancing rules in place at all times whilst on the premises of our practice.

COVID-19 Orthodontic Treatment Consent Form

Returning Patients - follow up appointments

Please select and complete the COVID-19 Orthodontic Treatment Consent Form.

This must be completed by all patients seeking face-to-face treatment to continue active treatment. Once completed, our Reception Team will contact you to arrange the next available appointment.

Patient Number will be required to complete this form. It can be found on top of any communication sent by our Practice. If you don't know your Patient Number, please contact us at reception@orthwise.co.uk. Any submitted forms will be rejected without this number.

Due to enhanced infection control measures in-place, Parents/Guardians and Carers for those already in active treatment are asked to wait outside the practice for the duration of the appointment. If you need to discuss matters regarding on-going treatment, this can be arranged in advance of your scheduled appointment by one of our Reception Team.

PLEASE ARRIVE WEARING A FACE COVERING, YOUR TEMPERATURE WILL BE TAKEN UPON ARRIVAL - IF IT READS 37.8° OR ABOVE YOU WILL BE ASKED TO REBOOK YOUR APPOINTMENT FOR NO LESS THAN 14 DAYS LATER.

COVID-19 Orthodontic Treatment Consent Form

Treatment Stages Consent Forms

Please select and complete the Brace Removal (Debond) Consent Form.

This must be completed by all patients ready for brace removal. Once completed, our Reception Team will contact you to arrange the next available appointment.

Patient Number will be required to complete this form. It can be found on top of any communication sent by our Practice. If you don't know your Patient Number, please contact us at reception@orthwise.co.uk. Any submitted forms will be rejected without this number.

Due to enhanced infection control measures in-place, Parents/Guardians and Carers for those already in active treatment are asked to wait outside the practice for the duration of the appointment. If you need to discuss matters regarding on-going treatment, this can be arranged in advance of your scheduled appointment by one of our Reception Team.

PLEASE ARRIVE WEARING A FACE COVERING, YOUR TEMPERATURE WILL BE TAKEN UPON ARRIVAL - IF IT READS 37.8° OR ABOVE YOU WILL BE ASKED TO REBOOK YOUR APPOINTMENT FOR NO LESS THAN 14 DAYS LATER.

Brace Removal (Debond) Consent Form

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