Invisalign Informed Consent Form

An Invisalign informed consent form indicates a patient's consent to receive a cosmetic treatment called Invisalign. The treatment method uses aligners, a less visible alternative to braces, to improve tooth alignment. The form must be signed by the patient before an orthodontist may legally pursue Invisalign.

Updated November 15, 2024

How to Write

Step 1 – Download in PDF.

Step 2 – The first two (2) pages of the form contain important information that the patient should read before signing. Once you have read through the provided information and the agreement that you are making, if you wish to proceed, provide the following information at the bottom of the third page:

Signature
Printed name
Complete address
The date

Step 3 – You will also have to have a witness and, if you are under 21, a parent or guardian sign the document.