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General Consent – Vista Dental Studio, Hyderabad

I agree TO GIVE MY CONSENT TO DR. NIKHIL SARAN (BDS, MDS, FICOI), VISTA DENTAL STUDIO, Hyderabad and/or the Dental Surgeons & Consultants in charge to proceed with the diagnosis and treatment plan and the cost estimation. I accept the risks and its complications, if any, in hope of obtaining the desired benefits from the procedures, which may include X-ray, use of anaesthetic agents, blood and blood products, medications.

I understand that dental materials, instruments, equipments, antibiotics, analgesics, anaesthetic and other medications can cause allergic reactions and may cause redness and swelling of tissues; in severe cases may exhibit as pain, itching, vomiting, and/or anaphylactic shock (severe allergic reaction). I take full responsibility to bear the cost of the treatment which will be suggested to me.

I do understand the complexity of the dental procedures which sometimes require to change or add procedures because of conditions found while working on my teeth apart from the chief complaint I came with. I also understand/realise that it is my duty to ask relevant questions about the diagnosis & procedures to be carried out prior to treatment along with the risks associated, and the possible alternative treatments available for my condition.

I will agree to the observation and photography in the operating room during the procedures in order to advance dental education.