Dentists must obtain informed consent for every treatment you propose and perform on patients or from the patient's legal guardian or decision-maker. Find a collection of free forms and tools for dental practices.Streamline administrative processes with consent forms, employment documents, and more. I am provided with this refusal form and information so I may understand the recommended treatment and the consequences of refusing treatment. The 60 th Dental Squadron prioritizes the treatment of Active Duty Service Members (ADSM), and the treatment of non-ADSM on active orders. This form allows a patient to refuse a dental X-Ray imaging due to safety concerns or the availability of alternative options. Send treatment refusal form dental via email, link, or fax. You can also download it, export it or print it out. Complete and partial dentures; and; Orthodontics for children who qualify. See why 50000 dentists trust Vyne Dental.