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Pre-Treatment Consent Forms

For your convenience

Prior to treatment, we ask that you please fill out our pre-treatment consent form. Please use the buttons below to download the corresponding consent form. 

Pre-Treatment Consent for All on Four Implants
Pre-Treatment Consent for Bone Grafting
Pre-Treatment Consent for Botox Treatment
Pre-Treatment Consent for Connective Tissue Grafting
Pre-Treatment Consent for Dental Implants
Pre-Treatment Consent for Immediate Dentures
Pre-Treatment Consent for Nitrous Oxide
Pre-Treatment Consent for Endodontic Root Canal Treatment
Pre-Treatment Consent for Sedation
Pre-Treatment Consent for Teeth Extraction
Pre-Treatment Consent for Zoom! Whitening

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1251 Ebenezer Rd
Rock Hill, SC 29732

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Falko Family Dental of Rock Hill
1251 Ebenezer Rd, Rock Hill, SC 29732

Hours:

Monday 8 AM–5 PM
Tuesday 8 AM–5 PM
Wednesday 8 AM–5 PM
Thursday 8 AM–5 PM
Friday Closed
Saturday Closed
Sunday Closed