1. Medical History Declaration: Section for patient to declare relevant medical history and conditions - used when the practice doesn't have a separate medical history form

2. Photography Consent: Authorization for taking and using dental photographs - included when before/after documentation is needed

3. Insurance and Payment: Details about insurance coverage and payment terms - included when treatment involves significant costs or insurance claims

4. Cancellation Policy: Terms regarding appointment cancellation and associated fees - used in private practices with specific scheduling policies

5. Alternative Treatments: Description of alternative treatment options - included for complex procedures where multiple treatment options exist

6. Language Confirmation: Confirmation that the patient understands the language used - included when serving diverse populations

1. Schedule A - Detailed Treatment Plan: Specific details of the proposed treatment, including procedures, materials, and timeframes

2. Schedule B - Fee Schedule: Breakdown of treatment costs and payment terms if applicable

3. Appendix 1 - Pre-Treatment Instructions: Specific instructions for patient preparation before the procedure

4. Appendix 2 - Post-Treatment Care: Detailed post-procedure care instructions and emergency contact information