1. Purpose
The purpose of the Teledentistry Consent Form is to get the patient's permission and consent in order to participate in virtual dental care and treatment services.
2. Teledentistry Consultation
Teledentistry is online dentistry care for patients who do not visit the dentist's office physically. The visits are provided through an online appointment system and doctor's visits are held on the selected date & time by the patient.
Similar to the regular doctor's visit, teledentistry consultation aims to provide a complete treatment to the patients.
3. Confidentiality
Patient information is protected by current federal and state laws that are used during teledentistry consultation. The medical information of the patient may be used privately for further scientific researches.
4. Patient Rights
The patient has the right to end teledentistry consultation before and during the consultation. The patient can withdraw and withhold the consent at any time and this will not affect the further treatment to get teledentistry consultation or treatment.
5. Risks and Benefits
As a benefit of teledentistry consultation, visiting the doctor and get treatment consultations without face-to-face interaction with the dentist in the office are stated. A possible risk of teledentistry consultation is that there may be a requirement to visit the doctor's office physically for further treatment.