Authorizations and Acknowledgments Please scroll down to fill out the form Featured Patient Information Insurance Information Medical History Dental History Authorizations and Acknowledgments Communication Release COVID-19 Screening Form General Consent Extraction Consent Root Canal Consent Dentures Consent Deep Scaling / Root Planing Consent Core Build-up / Crown Consent Bonded Braces Consent Authorization/AcknowledgeLegwork WebsitesDecember 27, 2019 Facebook0 Twitter Tumblr 0 Likes