Jason Cataldo, DDS, MSD

Periodontics & Dental Implants

3505 University Drive, Durham, NC 27707

919-493-9900

Online Forms

• Patient Forms
• Patient Education Materials

Online Forms

Please download and fill-out our Patient Forms. After you have completed the forms, please make sure to bring them on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

For Your First Visit

• Patient Registration Form
• Medical History Form
• Patient Privacy Policy Consent Form

Other Forms

• Treatment Information Authorization Form
• Dental Records Request Form
• Dental Records Release Form

Consent for Treatment and Post-Operative Care Instructions

• Anxiolysis Consent Form

Dental Implants

• Consent for Treatment: Dental Implants
• Dental Implant Information Sheet
• Post Operative Instructions: Dental Implants

Tooth Extractions

• Consent for Treatment: Tooth Extraction
• Post-Operative Instructions: Tooth Extraction

Periodontal Surgery

• Soft Tissue Biopsy Information
• Consent for Treatment: Periodontal Surgery
• Consent for Treatment: Bone Regeneration
• Consent for Treatment: Crown Lengthening
• Consent for Treatment: Gingival Augmentation
• Consent for Treatment: Osteonecrosis
• Post-Operative Instructions: Surgical Instructions
• Post-Operative Instructions: Arestin Therapy
• Post-Operative Instructions: Gingival Augmentation
• Post-Operative Instructions: Scaling and Root Planing

Technical Note:

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