Resource Library

Patient Forms

Patient Communication Consent Form

A consent form for appointment reminders, administrative messages, treatment follow-up, billing communication, and optional marketing communication.

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Best used for

Where this helps inside the clinic.

SMS reminders

WhatsApp workflows

Email communication

Recall

Resource structure

What the resource should help your team capture.

Permitted Channels

Let the patient choose how the clinic may contact them.

SMS
Email
Phone call
Voicemail
WhatsApp if used
Postal mail

Message Types

Separate operational communication from optional marketing.

Appointment reminders
Account messages
Treatment follow-up
Recall
Review requests
Marketing offers

Patient Rights

Explain opt-out and update options.

How to opt out
How to update contact details
Privacy notice reference
Support email

Signature

Record consent.

Patient name
Signature
Date
Guardian if applicable

The Practice Presence for Dental Clinics

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