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.
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
Want the finished version for your clinic?
Request this resource and include what your clinic needs it to solve. We use that context to tailor finished packs around real operational problems.
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