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The Braces Removal Consent Form is a crucial document used in Qatar's orthodontic practices when completing orthodontic treatment. It is required under Qatar's healthcare regulations, particularly Law No. 2 of 1983 Regarding the Practice of Medicine and Dental Medicine and Surgery, and current Ministry of Public Health guidelines. The form serves multiple purposes: documenting informed consent, providing essential post-removal care instructions, outlining potential risks, and establishing a clear record of the procedure agreement. It is particularly important in cases involving minors, where guardian consent is required, and must be available in Arabic and English to serve Qatar's diverse population. The document must be completed and signed before any braces removal procedure can commence, ensuring both legal compliance and patient understanding of the process.

1. Patient Information: Patient's full legal name, date of birth, ID number, contact information, and medical record number

2. Treating Orthodontist Details: Name, license number, and contact information of the treating orthodontist

3. Treatment Summary: Brief overview of the completed orthodontic treatment and current status

4. Procedure Description: Detailed explanation of the braces removal process and immediate post-removal procedures

5. Expected Outcomes: Description of expected results and appearance after braces removal

6. Post-Removal Care: Instructions for immediate and long-term care after braces removal, including retainer use

7. Risks and Complications: Description of potential risks, complications, and side effects of the removal procedure

8. Patient Acknowledgment: Statement confirming patient understanding and agreement to proceed

9. Signatures: Dedicated space for patient (or guardian) and orthodontist signatures, with date and time