Downloads
These documents have come from numerous helpful individuals who wanted to share with the dental community, are not copyrighted and were freely available, or were created by me.Please contact me if you have any material you would like to contribute, or if you know of any copyright issues with any of the material.
Dentist Office Management
- Job Applications
- Employment Application 1 - pdf file
- Employment Application 2 - Word doc file
- Employment Application 3 - from Chamber of Commerce; Word doc file
- Office Policy Manuals
- Sample Office Employee Handbook #1 (pdf)
- Sample Office Employee Handbook #2 (doc)
- Employment Forms
- Download Form I-9, English - pdf file
- Download Form I-9, Spanish - pdf file
- U.S. Citizenship and Immigration Services - About Form I-9 - pdf file
- Download Form W-4, 2008 - pdf file
- Employee Performance Review forms
- Office Team Management
- HIPAA
- Embezzlement and Theft Prevention (doc)
- Estate Planning For Dentists (And Everybody Else) (doc)
- Request for Time Clock Adjustment (doc)
- Fix-It List (doc)
- Procedure Routing Slip (doc)
- Fee Estimate worksheet (doc)
- Notice to Medicare Dental Patients (doc)
- Policy on No Shows and Cancellations (doc)
- Summary of Patient Record for patient transferring to new office (doc)
- X-ray Viewbox Simulator - Powerpoint program that turns computer screen all white, so you can read x-rays against it.
- Laser Danger warning sign (jpg)
Patient Information
- Dry Mouth/Xerostomia (doc)
- Arestin PostOp Instructions (doc)
- Scaling/Root Planing PostOp Instructions (doc)
- Gum Recession illustration (doc)
- Propylactic Cardiac Premed (doc)
- Joints Premed (doc)
- Infection Instructions (doc)
- Lichen Planus (doc)
- Sinus infection Instructions (doc)
- Smoking Cessation (pdf)
- Crown and Bridge Post-Op Instructions (doc)
- Cavity-Free Checkups (doc)
- Cold Sore Products (doc)
- Denture Cleaning (doc)
- Mouthwashes Without Alcohol (doc)
- Mouthwashes Without Sodium Laurel Sulfate preservative (doc)
- Toothpastes Without Sodium Laurel Sulfate (doc)
- Sugarfree Gum (doc)
- Sugarfree Cough Drops (doc)
- Xylitol-containing Dental Products (doc)
Patient Forms
- Consent Form, Implants 1 (pdf)
- Consent Form, Implants 2 (doc)
- Consent Form, Sinus Lift (pdf)
- Consent Form, Gingival Augmentation (pdf)
- Consent Form, Periodontal Therapy (pdf)
- Consent Form, Scaling and Root Planing 1 (pdf)
- Consent Form, Scaling and Root Planing 2 (pdf)
- Consent Form, Oral Surgery 1 (pdf)
- Consent Form, General 1 (pdf)
- Consent Form, General 2 (pdf)
- Consent Form, Financial Liability Release (pdf)
- Consent Form, Photography Use (pdf)
- Consent Form, Apicoectomies and Apical Surgery (pdf)
- Consent Form, Bisphosphonate (pdf)
- Consent Form, Composite Fillings (pdf)
- Consent Form, Silver Amalgam Fillings (pdf)
- Consent Form, Amalgam Replacement (pdf)
- Consent Form, Crown and Bridge (pdf)
- Consent Form, Posts and Pins (pdf)
- Consent Form, Dentures 1 (pdf)
- Consent Form, Dentures 2 (pdf)
- Consent Form, TMJ Therapy (pdf)
- Consent Form, Splint Treatment (pdf)
- Consent Form, Cosmetics 1 (pdf)
- Consent Form, Cosmetics 2 (pdf)
- Consent Form, Endodontics 1 (pdf)
- Consent Form, Endodontics 2 (pdf)
- Consent Form, Endodontics 3 (pdf)
- Consent Form, Endodontics 4 (pdf)
- Consent Form, Endodontics 5 (pdf)
- Consent Form, Endodontics 6 (pdf)
- Consent Form, Endodontics 7 (pdf)
- Consent Form, Endodontics 8 (pdf)
- Consent Form, Endodontics 9 (pdf)
- Consent Form, Endodontics 10 (pdf)
- Consent Form, Endodontics 11 (pdf)
- Consent Form, Endodontics Retreatment (pdf)
- Consent Form, Pulpotomy (pdf)
- Consent Form, Orthodontics 1 (pdf)
- Consent Form, Orthodontics 2 (pdf)
- Consent Form, Oral Surgery 1 (pdf)
- Consent Form, Oral Surgery 2 (pdf)
- Consent Form, Oral Surgery 3 (pdf)
- Consent Form, Oral Surgery 4 (pdf)
- Consent Form, Oral Surgery 5 (pdf)
- Consent Form, Oral Surgery 6 (pdf)
- Consent Form, Oral Surgery 7 (pdf)
- Consent Form, Oral Surgery 8 (pdf)
- Consent Form, Oral Surgery 9 (pdf)
- Consent Form, Oral Surgery 10 (pdf)
- Consent Form, Oral Surgery 11 (pdf)
- Consent Form, Oral Surgery 12 (pdf)
- Consent Form, Nitrous Oxide (pdf)
- Consent Form, IV Sedation 1 (pdf)
- Consent For, IV Sedation 2 (pdf)
- Refusal to Disclose Social Security Number (doc)
- Patient Information/Registration/Health Hx form #1 (pdf)
- Patient Information/Registration/Health Hx form #2 (doc)
- University of the Pacific forms in multiple languages (pdf's)
- University of Washington Medical and Dental History (pdf)
Dentist Forms
- Periodontal Chart, blank (pdf)
- Treatment Plan worksheet (doc)
- Treatment Plan worksheet with tooth chart (doc)
- Perio Disease Report to customize for a patient (doc)
- Diagram for charting Oral Pathologies (pdf)
- Form for charting extraoral head and neck pathologies (doc)
- Exam charting form, front (pub)
- Exam charting form, back (pub)
- Exam charting form (same as two above, but in one pdf file)
- Turn Off Mobile Phones sign for operatories (doc)
- Tooth Chart diagram, adult (jpg) -- for making your own form
- Tooth Chart diagram, child (jpg) -- for making your own form
Reference documents
- Panoramic Radiography Tips - good reference for staff; from Kodak (pdf)
- Intraoral Radiography Tips (pdf)
- Average Tooth Dimensions chart (jpg)
Other Pages for Dentists on this website: