Orthodontic Treatment Consent Form
About this free form template

Streamline Orthodontic Patient Consent with Paperform

Getting clear, documented consent from orthodontic patients is essential for compliance, treatment success, and managing expectations throughout the entire journey—from initial appliance fitting through to retention phase completion.

This Orthodontic Treatment Consent Form template is designed specifically for orthodontists, dental practices, and oral healthcare providers who need to collect informed consent while clearly outlining patient responsibilities, appointment requirements, appliance care protocols, and financial arrangements.

Why Digital Consent Forms Matter for Orthodontic Practices

Traditional paper consent forms create administrative bottlenecks, are prone to being lost or incomplete, and make it difficult to track which patients have agreed to specific terms. With Paperform, you can digitize the entire consent process—patients can complete the form before their first appointment, sign electronically via Papersign, and have all information automatically stored in your practice management system.

What This Template Includes

This comprehensive template covers all critical aspects of orthodontic treatment consent:

  • Patient and guardian information with clear identification of responsible parties
  • Treatment plan acknowledgment including duration estimates and appliance types
  • Appliance care instructions and responsibilities with patient commitments
  • Appointment attendance requirements and missed appointment policies
  • Retention phase expectations and long-term care obligations
  • Financial arrangement agreements including payment schedules and insurance
  • Risk acknowledgment for treatment complications and patient cooperation requirements
  • Electronic signature capture for legally binding consent

How Paperform Enhances Your Orthodontic Practice

With Paperform's conditional logic, you can show different sections based on patient age (adult vs. minor), treatment type (braces vs. aligners), or payment method. Connect submissions to your dental practice management software, CRM, or calendar system to automatically schedule follow-ups and send appointment reminders.

Use Papersign to transform completed consent forms into official agreements that patients and guardians can sign electronically, creating a complete audit trail for compliance and record-keeping. Link to Stepper to automate your patient onboarding workflow—automatically send welcome packets, care instructions, and schedule the first adjustment appointment based on form submission.

Built for Healthcare Professionals

This template is designed with dental and orthodontic practices in mind—professional, compliant, and easy for patients to complete on any device before arriving for treatment. Customize the form to match your practice's branding, add your logo, and adjust the language to reflect your specific policies and procedures.

Start digitizing your orthodontic consent process today with Paperform's secure, GDPR and SOC 2 Type II compliant platform trusted by healthcare providers worldwide.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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