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Select a different consent form

If your hospital is not listed in the drop down list below can you please email office@baoms.org.uk with the details.

Orthognathic Consent Form
Main procedures
Maxillary procedure
Impaction
Anterior impaction (mm):
Posterior impaction (mm):
Advancement
Advancement (mm):
Rotation
Rotation left (mm):
Rotation right (mm):
Mandibular procedure
Advancement
Advancement left (mm):
Advancement right (mm):
Setback
Setback left (mm):
Setback right (mm):
Rotation
Rotation left (mm):
Rotation right (mm):
Adjunctive procedures
Alloplastic augmentation
Bone graft
Tooth removal
Removal of plates/screws/alloplastic material (synthetic graft)

Disclaimer: please read and tick box to proceed
Users/Clinicians are responsible for obtaining authorisation for the use of BAOMS consent forms through their local Trust/ Clinical Governance structure before using them for patient consent. Please ensure their usage is fully authorised by your local Trust. BAOMS accepts no responsibility for misuse or lack of authorisation locally.

If you have selected ‘Tooth Removal’, you must fill out the percentages risks in the ‘Risks of Tooth Extraction Procedures’ section.

BAOMS is currently piloting these consent forms and many thanks for your attention to this.


When you have selected all the necessary procedures and read the disclaimer, please press ‘Generate cover pages’ to proceed.