Dentists must obtain informed consent for every treatment you propose and perform on patients or from the patient's legal guardian or decision-maker. We offer the complete range of general dentistry services, including teeth cleanings, fillings, and sedation dentistry.I am provided with this refusal form and information so I may understand the recommended treatment and the consequences of refusing treatment. From finding a doctor and making appointments to requesting medical records and getting financial assistance, we've got you covered. Listed below are the most commonly used Health Services forms. You just need to complete the application process and have your eligibility verified by. MATP to use the service. Complaint Information. Please explain your complaint: Try to be brief, but be sure to tell WHAT happened, WHEN it happened and WHERE it happened.