Laser Whitening - Client Informed Consent Form
The risks i.e. sensitivity (on rare occasions this can be extreme which may cause irritation to my gums, this would be caused by the way I have reacted to the oxygenation process) and benefits have been explained to me and I understand them.
I have understood the information supplied and have had the opportunity to ask questions and they have been answered to my satisfaction.
I understand and acknowledge that this treatment will be completed by a trained Cynsational Smiles technician who is not a dentist or does not claim to be and can, therefore, not advise me on my dental health.
I understand that this is a cosmetic treatment and not a dental treatment. I am dissatisfied with the present color or shade of my teeth and I have been advised that my teeth may achieve a whiter appearance using Teethwhite products correctly
I consent to the treatment and accept the risks described.