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La clinique
Dre Élaine-Andrée Paradis, dentiste
Soins dentaires et prévention
Dentisterie familiale
Dentisterie esthétique
Soins post chirurgicaux
- Instructions post opératoires
Urgences dentaires
Formulaire de consentement
Politique de gouvernance Loi 5

Réalisé par plogg dentisterie et le Guide des soins dentaires

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1150 Boulevard de la Grande-Allée, suite 102, Boisbriand, QC J7G 2T4

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1150 Boulevard de la Grande-Allée, suite 102,
Boisbriand, QC J7G 2T4

(450) 435-8801

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https://www.centredentaireparadis.com/adult-consent-form/

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Adult consent form

Adult consent form

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Consent form for the collection and use of personal information

I, , hereby consent to the collection, use and disclosure of my personal information by Centre Dentaire Paradis for the purpose of providing me with dental services. I acknowledge that I have received information about how my personal information will be collected, used, shared, stored and protected. I acknowledge that I have received information about my rights with respect to my personal information. The foregoing information is contained in the Centre Dentaire Paradis Privacy Policy. I understand that consent is valid for as long as I am a patient of Centre Dentaire Paradis and that I may withdraw my consent to the collection and use of my personal information at any time in accordance with the procedure described in the Centre Dentaire Paradis Privacy Policy. However, this may prevent Centre Dentaire Paradis from providing me with dental services. I have read and understood the above information and voluntarily consent to the collection and use of my personal information as described.

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