Client Consent Form

For new or follow-up visits, and pH Review and Balancing, please avoid eating, drinking, smoking, or placing gum, mints, toothpaste, candies, or any other items in your mouth at least 2 hours before your appointment.

** Please do NOT wear or apply any scented perfumes, colognes, soaps, oils, sprays, clothing, or other products on the day of your appointment for the health and safety of our clients and all those involved in your care. **

Please fill out the Consent form and make every effort to submit your completed document to the Practice before your scheduled appointment using this website, emailing, or printing it.

You can download the Consent form using the button.

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