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CONSENT TO EVALUATION AND TREATMENT

I consent to evaluation, diagnostic procedures, and treatment by Colorado TMJ and Facial Pain clinicians. This may include physical examination, imaging, consultations, and treatment planning. I understand that I may decline or defer care at any time.


ACKNOWLEDGEMENT

  1. I understand the nature and purpose of my care.

  2. I have the right to ask questions and receive clear explanations.

  3. I understand I may withdraw consent at any time.


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