{"id":1401,"date":"2021-05-07T12:47:48","date_gmt":"2021-05-07T12:47:48","guid":{"rendered":"https:\/\/dentosanmed.ro\/?page_id=1401"},"modified":"2023-08-17T11:39:28","modified_gmt":"2023-08-17T11:39:28","slug":"formulare-pacienti-clinica-stomatologica-cluj","status":"publish","type":"page","link":"https:\/\/dentosanmed.ro\/en\/formulare-pacienti-clinica-stomatologica-cluj\/","title":{"rendered":"Patient forms"},"content":{"rendered":"<section id=\"bt_section69e3761e1e491\"  class=\"boldSection btDivider topSemiSpaced bottomSemiSpaced btDarkSkin gutter inherit wBackground cover\" style=\"background-color:#0cb8b6;background-image:url('https:\/\/dentosanmed.ro\/wp-content\/uploads\/2015\/12\/bgn-grad.png');\"><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow\" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft animate animate-fadein animate-moveleft inherit\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topExtraSmallSpaced noBorder\" ><hr><\/div><header class=\"header btClear large  btNormalDash\" ><div class=\"btSuperTitle\">From this page you can download<\/div><div class=\"dash\"><h2><span class=\"headline\">PATIENT FORMS<\/span><\/h2><\/div><\/header><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section id=\"bt_section69e3761e1e67e\"  class=\"boldSection topSpaced bottomSpaced gutter btMiddleVertical\" ><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow\" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-8 col-ms-12 btTextLeft animate animate-fadein animate-moveright btTopVertical\"  ><div class=\"rowItemContent\" ><header class=\"header btClear large  btNormalDash\" ><div class=\"btSuperTitle\">Below, you have PDF download links for all forms used in our dental clinic, Dentosan Med. You can then download the form you want in PDF format, list it and fill it in to streamline your dental visit.<\/div><\/header><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><a href=\"https:\/\/dentosanmed.ro\/wp-content\/uploads\/2021\/05\/Formular-acord-GDPR.pdf\" class=\"btBtn btBtn btnFilledStyle btnAlternateColor btnBig btnFullWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">GDPR agreement form<\/span><span class=\"btIco\" ><span  data-ico-fa=\"&#xf1c1;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><a href=\"https:\/\/dentosanmed.ro\/wp-content\/uploads\/2021\/05\/Formular-de-consimtamant-informat.pdf\" class=\"btBtn btBtn btnFilledStyle btnAlternateColor btnBig btnFullWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">Informed consent form<\/span><span class=\"btIco\" ><span  data-ico-fa=\"&#xf1c1;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><a href=\"https:\/\/dentosanmed.ro\/wp-content\/uploads\/2021\/05\/Chestionar-de-evaluare-a-starii-generale-FEMININ.pdf\" class=\"btBtn btBtn btnFilledStyle btnAlternateColor btnBig btnFullWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">General condition assessment form - FEMALE<\/span><span class=\"btIco\" ><span  data-ico-fa=\"&#xf1c1;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><a href=\"https:\/\/dentosanmed.ro\/en\/images\/formulare\/evaluarestaregenerala-masculin.pdf\/\" class=\"btBtn btBtn btnFilledStyle btnAlternateColor btnBig btnFullWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">General condition assessment form - MALE<\/span><span class=\"btIco\" ><span  data-ico-fa=\"&#xf1c1;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><a href=\"https:\/\/dentosanmed.ro\/wp-content\/uploads\/2021\/05\/Chestionar-triaj-COVID19.pdf\" class=\"btBtn btBtn btnFilledStyle btnAlternateColor btnBig btnFullWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">Epidemiological form in the context of COVID-19<\/span><span class=\"btIco\" ><span  data-ico-fa=\"&#xf1c1;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><div class=\"rowItem col-md-4 col-ms-12 btTextCenter animate animate-fadein btTextIndent btHighlight btTopVertical\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><header class=\"header btClear medium  btNormalDash\" ><div class=\"dash\"><h3><span class=\"headline\">WORKING HOURS<\/span><\/h3><\/div><\/header><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><div class=\"btWorkingHours  btWorkingHoursHasLink\" ><div class=\"btWorkingHoursInner\"><div class=\"btWorkingHoursInnerRow\"><div class=\"btWorkingHoursInnerTitle\">Monday<\/div><div class=\"btWorkingHoursInnerContent\">9:00 &#8211; 20:00<\/div><div class=\"btWorkingHoursInnerLink\"><a href=\"\/en\/programari-online-clinica-dentara-cluj\/\" title=\"BOOK\">BOOK<\/a><\/div><\/div><div class=\"btWorkingHoursInnerRow\"><div class=\"btWorkingHoursInnerTitle\">Tuesday<\/div><div class=\"btWorkingHoursInnerContent\">9:00 &#8211; 20:00<\/div><div class=\"btWorkingHoursInnerLink\"><a href=\"\/en\/programari-online-clinica-dentara-cluj\/\" title=\"BOOK\">BOOK<\/a><\/div><\/div><div class=\"btWorkingHoursInnerRow\"><div class=\"btWorkingHoursInnerTitle\">Wednesday<\/div><div class=\"btWorkingHoursInnerContent\">9:00 &#8211; 20:00<\/div><div class=\"btWorkingHoursInnerLink\"><a href=\"\/en\/programari-online-clinica-dentara-cluj\/\" title=\"BOOK\">BOOK<\/a><\/div><\/div><div class=\"btWorkingHoursInnerRow\"><div class=\"btWorkingHoursInnerTitle\">Thursday<\/div><div class=\"btWorkingHoursInnerContent\">9:00 &#8211; 20:00<\/div><div class=\"btWorkingHoursInnerLink\"><a href=\"\/en\/programari-online-clinica-dentara-cluj\/\" title=\"BOOK\">BOOK<\/a><\/div><\/div><div class=\"btWorkingHoursInnerRow\"><div class=\"btWorkingHoursInnerTitle\">Friday<\/div><div class=\"btWorkingHoursInnerContent\">9:00 &#8211; 20:00<\/div><div class=\"btWorkingHoursInnerLink\"><a href=\"\/en\/programari-online-clinica-dentara-cluj\/\" title=\"BOOK\">BOOK<\/a><\/div><\/div><div class=\"btWorkingHoursInnerRow\"><div class=\"btWorkingHoursInnerTitle\">Saturday<\/div><div class=\"btWorkingHoursInnerContent\">CLOSED<\/div><\/div><div class=\"btWorkingHoursInnerRow\"><div class=\"btWorkingHoursInnerTitle\">Sunday<\/div><div class=\"btWorkingHoursInnerContent\">CLOSED<\/div><\/div><\/div><\/div><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><a href=\"\/en\/informatii-clinica-dentara-dentosan-med-cluj\/informatii-contact-localizare-clinica-stomatologica-dentosan-cluj\/\" class=\"btBtn btBtn btnFilledStyle btnAccentColor btnSmall btnNormalWidth btnRightPosition btnNoIcon\" style=\"margin-bottom: -28px\"><span class=\"btnInnerText\">SEE CONTACT DETAILS<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section id=\"bt_section69e3761e1eeee\"  class=\"boldSection btDarkSkin gutter inherit\" style=\"background-color:#0cb8b6;\"><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow\" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-8 col-ms-12 btTextLeft animate animate-fadein animate-moveright btMiddleVertical btDoublePadding\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><header class=\"header btClear medium  btNormalDash\" ><div class=\"btSuperTitle\">dental services<\/div><div class=\"dash\"><h3><span class=\"headline\">SEE FULL LIST OF TREATMENTS<\/span><\/h3><\/div><\/header><div class=\"btText\" ><p>Click on the dropdown arrow on the right and select the treatment of interest.<\/p>\n<\/div><div class=\"btClear btSeparator topSemiSpaced noBorder\" ><hr><\/div><\/div><\/div><div class=\"rowItem col-md-4 col-ms-12 btTextLeft animate animate-fadein animate-moveleft btMiddleVertical btDoublePadding\" style=\"background-color: rgba(2, 157, 155, 1);\" ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><header class=\"header btClear medium  btNormalDash\" ><\/header><div class=\"btText\" ><p>Select the dental treatment that interests you.<\/p>\n<\/div><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><div class=\"btDropdown\" ><select class=\"btDropdownSelect\"><option value=\"\">chose treatment<\/option><option value=\"\/portfolio\/implanturi-dentare-cluj-implantologie\/\">dental implants<\/option><option value=\"\/portfolio\/tratamente-cu-plasma-prf-cluj\/\">plasma therapy<\/option><option value=\"\/portfolio\/tratamente-de-canal-tratament-endodontic-cluj\/\">root canal treatment<\/option><option value=\"\/portfolio\/carii-dentare-obturatii-cluj\/\">dental cavities treatments<\/option><option value=\"\/portfolio\/albirea-dintilor-cluj\/\">dental whitening<\/option><option value=\"\/portfolio\/aparate-dentare-cluj\/\">aparate dentare<\/option><option value=\"\/portfolio\/fatete-dentare-cluj\/\">dental veneers<\/option><\/select><\/div><div class=\"btClear btSeparator topSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section id=\"bt_section69e3761e1f424\"  class=\"boldSection btDarkSkin inherit bt_bb_hidden_xs bt_bb_hidden_ms bt_bb_hidden_sm bt_bb_hidden_md bt_bb_hidden_lg\" ><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow\" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" >\r\n\t\t\t<div class=\"btGoogleMapsWrapper\" \"><div id=\"map_canvas69e3761e1f794\" style=\"height:500px;;\" class=\"btGmap\"><\/div><div class=\"btGoogleMapsContent\"><div class=\"btGoogleMapsWrap\"><span class=\"btInfoPaneToggler\"><\/span><div class=\"btClear btSeparator bottomSemiSpaced noBorder\" ><hr><\/div><div class=\"servicesItem  btIcoDefaultColorIcon btIcoMediumSizeIcon\"><div class=\"sIcon\"><span class=\"btIco btIcoMediumSize btIcoDefaultType btIcoDefaultColor\" ><span  data-ico-s7=\"&#xe638;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/div><div class=\"sTxt\"><header class=\"header btClear small\" ><div class=\"dash\"><h4><span class=\"headline\">ADDRESS<\/span><\/h4><\/div><\/header><p>Cluj-Napoca, RO<br\/>2 Fabricii Str.<br>4th stairs, Apt. 99-100<\/br><\/p><\/div><\/div><div class=\"btClear btSeparator bottomSemiSpaced noBorder\" ><hr><\/div><div class=\"servicesItem  btIcoDefaultColorIcon btIcoMediumSizeIcon\"><div class=\"sIcon\"><span class=\"btIco btIcoMediumSize btIcoDefaultType btIcoDefaultColor\" ><span  data-ico-s7=\"&#xe63a;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/div><div class=\"sTxt\"><header class=\"header btClear small\" ><div class=\"dash\"><h4><span class=\"headline\">EMAIL<\/span><\/h4><\/div><\/header><p>contact@dentosanmed.ro<\/p><\/div><\/div><div class=\"btClear btSeparator bottomSemiSpaced noBorder\" ><hr><\/div><div class=\"servicesItem  btIcoDefaultColorIcon btIcoMediumSizeIcon\"><div class=\"sIcon\"><span class=\"btIco btIcoMediumSize btIcoDefaultType btIcoDefaultColor\" ><span  data-ico-s7=\"&#xe670;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/div><div class=\"sTxt\"><header class=\"header btClear small\" ><div class=\"dash\"><h4><span class=\"headline\">PHONE<\/span><\/h4><\/div><\/header><p>0733 974 497<br\/>0264 447 906<br\/><\/p><\/div><\/div><div class=\"btClear btSeparator bottomSemiSpaced noBorder\" ><hr><\/div><div class=\"servicesItem  btIcoDefaultColorIcon btIcoMediumSizeIcon\"><div class=\"sIcon\"><span class=\"btIco btIcoMediumSize btIcoDefaultType btIcoDefaultColor\" ><span  data-ico-s7=\"&#xe66b;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/div><div class=\"sTxt\"><header class=\"header btClear small\" ><div class=\"dash\"><h4><span class=\"headline\">HOURS<\/span><\/h4><\/div><\/header><p>Monday-Friday: 09:00 \u2013 20:00<br\/>Saturday \/ Sunday: CLOSED<\/p><\/div><\/div><div class=\"btClear btSeparator bottomSemiSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div>\r\n\t\t\t<script type=\"text\/javascript\">\r\n\t\t\t\tjQuery( document ).ready(function() {\r\n\t\t\t\t\tbt_gmap_init( map_canvas69e3761e1f794, 46.77960037569502, 23.614656997998758, 17, \"https:\/\/dentosanmed.ro\/wp-content\/uploads\/2015\/11\/icon-green.png\", \"\", \"\", \"\", 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