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CHANGES IN TREA)]TJ ET 0 0 0 1 K 0 J 0 j 0.464 w 10 M []0 d 103.855 543.763 m 186.729 543.763 l S BT 8 0 0 8 186.729 544.483 Tm (TMENT PLAN)Tj ET 186.729 543.763 m 245.192 543.763 l S Q q 1 i 0 792 612 -792 re 0 792 m W n 0 792.06 612 -792 re W n BT /F7 1 Tf 8 0 0 8 54 535.483 Tm 0 0 0 1 k /GS2 gs 0 Tc 0.028 Tw [(I understand that dur)-15(ing treatment it ma)30(y be necessar)-30(y to change)]TJ 0 -1.125 TD [(or add procedures because of conditions f)30(ound while w)10(o)0(r)-15(king on)]TJ T* [(the teeth that w)10(ere not disco)15(v)25(ered dur)-15(ing e)30(xamination, the most)]TJ T* [(common being root canal ther)10(ap)30(y f)30(ollo)15(wing routine restor)10(ativ)25(e)]TJ T* [(procedures)15(. )-246(I understand that)]TJ T* [(significant sensitivity is a common after eff)30(ect of a ne)20(wly placed)]TJ T* [(filling. g&7b4B9`bA'Y(scU&%!H*'ZkEX[0,b]cs1TqVk]/MM1&r38#6LKSQLm7&B4dmW`eB The agreement binds the dental office and patient for a payment schedule that is often paid on a weekly or monthly basis. )-246(\(Initials_____________\))]TJ ET Q q 1 i 0 792 612 -792 re 0 792 m W n 0 792.06 612 -792 re W n BT /F9 1 Tf 14 0 0 14 324.84 376.058 Tm 0 0 0 1 k /GS2 gs (n)Tj 1 Tr 0 0 0 1 K 0 J 0 j 0.24 w 10 M []0 d 0 0 TD (n)Tj 0 Tr 0 0 0 0 k -0.06 0.05 TD (n)Tj 1 Tr 0 0 TD (n)Tj ET Q q 1 i 0 792 612 -792 re 0 792 m W n 0 792.06 612 -792 re W n BT /F6 1 Tf 8 0 0 8 360 376.758 Tm 0 0 0 1 k /GS2 gs -0.007 Tc 0.04 Tw [(9)-7(. treatment. 8;USO%9+&)(#_im.\6gmW\,j Radiographic Exam form . Fillable and printable Dental Treatment Plan Template 2020. Care and Treatment required Surname Forename Patient’s details NHS Personal Dental Treatment Plan The dentist named on this form is providing you with a course of treatment. 3 31. Improvement Plan Sample Parenting Plan Template Lesson Plan Template Flight Plan Form Home Buyers' Plan Funeral Planning Dental Treatment Plan Template Daily Planner Template Corrective Action Plan Template Pension Plan Application Form Business Plan Form Implementation Plan ... Login to download the PDF. Download free printable Dental Treatment Plan Template samples in PDF, Word and Excel formats Standard Dental Treatment Form — 39.2 KB The Canadian Dental Association is the nation's voice for dentistry dedicated to the promotion of optimal oral health, an essential component of general health, and to the advancement of a unified profession. 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