General Consent to Treatment

As a Houston Tx dentist we ask you to read and acknowledge the following statement. I agree and consent to a dental examination by Dr. David Hassid, DMD, dentist at Hassid Dental. I understand that additional diagnostic procedures and dental treatments may be recommended and will be discussed with me prior to being done. Also, I acknowledge that there are no guarantees, expressed or implied, as to the results of any procedures or dental treatments performed.