Oral Surgery Consent Form

About this form

The oral surgery consent form is a consent forms document used by dental practices. Surgical procedure consent covering risks, recovery expectations, and post-op care. In BoomCloud Forms it is a starting point: every field, heading and statement can be edited before you share it with patients.

Practices may use this template as a starting point and should review the wording against their own professional, regulatory and legal requirements before use.

What's included

This template ships with 10 fields:

• Patient Name — Text
• Procedure Description — Long answer
• I understand the surgical risks including bleeding and infection — Multiple choice
• I understand post-operative care instructions — Multiple choice
• I have disclosed all medications — Multiple choice
• I have arranged transportation home — Multiple choice
• Special Medical Considerations — Long answer
• Surgeon Name — Text
• Patient Signature — Signature
• Date — Date

When practices use it

Dental teams typically attach this form to the treatment workflow, completing it with the patient after the procedure and its alternatives have been discussed. It can be sent digitally ahead of the visit, completed on a tablet in the office, or printed as a PDF.

How to customize it

• Reword any question, add fields, or remove ones your practice doesn't need.
• Apply your practice name, logo and colors so the form matches your brand.
• Switch to another supported language where a translated version exists.
• Share a secure link with the patient, or download a print-ready PDF.