29+ Dental Clearance Form For Surgery Images. Dental medical clearance forms are documents which are provided by an individual's dentist and addressed to the physician who will administer a set of medical examinations to the individual or the dentist' patient. Before you undergo surgery, your physician must fill the medical clearance form.
Medical clearance form for surgery.
This form should provide the patient with a complete picture of the current situation and proposed interventions. Medical clearance letter is quite similar to medical clearance certificate. Dental clearance before cardiac valve replacement surgery is necessary to check for, and eliminate, any present or potential sources of infection which may prior dental clearance is required to reduce the necessity for invasive dental treatment after cardiac valve replacement surgery, says dr soong. We are requesting a dental clearance.