Standards › Standard 31 › Forms
Form · DEN-FRM-007 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 31.19
Purpose
Records the written estimate for planned treatment and the agreement to any change in fees.
How to complete
- Give the written estimate before treatment starts.
- Record the patient’s agreement.
- Record any agreed change to the estimate in writing.
Checks
| Check | Entry |
|---|---|
| Planned treatment and estimate | Yes |
| Patient agreement (signed) | Yes |
| Agreed change and reason | Yes |
| Final invoice matches estimate (yes or no) | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the CDC guidelines for infection control in dental health-care settings (Kohn et al., 2003), ISO 17665 for moist-heat sterilisation, the Minamata Convention on Mercury (2013), IAEA Specific Safety Guide SSG-46 (2018), Council Directive 2013/59/Euratom, and the ADA guidelines on sedation (2016). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)