Forms, Agreements & Letters

Important Disclaimer

This information and materials on this site are provided for general informational purposes only.  They do not and are not intended to constitute legal advice.  The information and materials are provided as-is and no representations are made that they are accurate, adequate, valid, reliable, complete, or free of errors.  They may not be current with the law or may not be applicable to the law of the jurisdiction in which you practice.  You should contact your attorney to obtain legal advice with respect to any particular legal matter or the applicability of any of the information or materials provided here.  You should not act or decline to act on the basis of the information and materials provided here without seeking legal advice from an attorney. 

THE AACA DISCLAIMS ANY AND ALL LIABILITY WITH RESPECT TO ACTIONS TAKEN OR NOT TAKEN BASED ON THE INFORMATION AND MATERIALS PROVIDED ON THIS SITE.  UNDER NO CIRCUMSTANCE WILL THE AACA HAVE ANY LIABILITY TO ANY PERSON OR ENTITY FOR ANY LOSS OR DAMAGE OF ANY KIND THAT RESULTS FROM THE USE OF THE SITE OR THE INFORMATION OR MATERIALS PROVIDED ON THE SITE, WHICH ARE TO BE USED SOLELY AT YOUR OWN RISK.

AACA reference material: for use by active members of AACA during Period of AACA membership only. These items contains proprietary materials and may not be used by non-AACA members.


The AACA has developed a consent form that incorporates the very best features of all the different consent forms used across the country.

 

This is a template for use in connection with patients undergoing clear aligner orthodontic treatment who have stopped appointing to the office and you have lost communication with them. Please send via email or registered mail. Document and keep copy in patient's chart. Customize for your particular situation and office.

Retention Commitment template for use in connection with patients undergoing clear aligner orthodontic treatment.

 

Use this template to send to patients leaving negative reviews for your practice.

This form is to be used for a patient that wishes to terminate clear aligner treatment before the doctors recommendations.