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IVC Consent

  • Ask The Doctor

 IV Vitamin C Consent

  • IV Vitamin C Informed Consent

  • Vitamin C aids in the regeneration of oral tissues, and has been recommended by Dr. Wall to aid in your oral rehabilitation. Numerous studies have shown the benefits of vitamin C in fighting periodontal disease (gum disease), gingivitis, promoting bone and teeth health, and improving general oral immune health.M

    I understand that this procedure is not considered "routine and customary." However, I feel that it may be beneficial in my particular case, and I give my consent to the administration of IV vitamin C.

    Patients who have the following conditions should NOT have IV vitamin C:

    • Uncontrolled diabetes

    • Kidney disease or nephritic syndrome

    • Reduced kidney function

    • Urinary tract infection

    • History of anemia due to G-6-PD deficiency

  • Date Format: MM slash DD slash YYYY

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