Consent forms

Please see below downloadable PDF consent forms.

Please open directly in Adobe Acrobat Reader.

Type in your answers in the fields and save a copy for your records.

Submit by email button will send the completed form via email.

Alternatively please print and return.

All personal data supplied are processed in accordance with UK data protection legislation.

We take your privacy very seriously, please see our privacy policy for more information.

Private orthodontic treatment

  Private treatment informed consent

  Private fixed and removable retainers information and consent

NHS orthodontic treatment

  NHS treatment informed consent

  NHS removable retainers information and consent

Facial aesthetics

  Dermal filler and Profhilo® informed consent

  Botox® informed consent

British Lingual Orthodontic Society
British Orthodontic Society
Royal College of Surgeons