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The Early Removal Of Braces Consent Form is a critical document used in Hong Kong's dental practices when a patient requests to terminate their orthodontic treatment before the professionally recommended completion date. This document becomes necessary when patients, despite medical advice, choose to have their braces removed early due to personal reasons, financial constraints, or other circumstances. The form serves multiple purposes: it documents the patient's informed decision, outlines the potential risks and consequences of early removal, protects the healthcare provider from future liability, and complies with Hong Kong's medical practice standards and regulations. It is particularly important in the context of Hong Kong's healthcare system, where detailed documentation of patient consent and treatment modifications is required for legal and professional compliance.

1. Patient Information: Patient's full name, age, contact details, and dental record number

2. Treatment Background: Original treatment plan, current stage of treatment, and proposed early removal date

3. Reason for Early Removal: Documentation of the patient's stated reasons for requesting early removal of braces

4. Risks and Consequences: Detailed explanation of potential dental and orthodontic consequences of early braces removal

5. Current Treatment Status: Description of the current state of treatment and what objectives have/haven't been achieved

6. Financial Implications: Statement regarding any financial implications, including forfeiture of payments or additional costs

7. Professional Recommendation: Orthodontist's professional opinion and recommendation regarding the early removal request

8. Patient Acknowledgment: Patient's confirmation of understanding all risks and choosing to proceed despite professional advice

9. Signatures and Date: Space for patient (or guardian) and orthodontist signatures, with date of consent