Patient’s name: _____________________________________ Date of birth: _________  SSN: _______________________ Previous name: _____________________________  Doctor’s Name __________________________________________________________  Practice Name: __________________________________________________________  

Board certified Oral & Maxillofacial Surgeon, Dr. Michael

Developed in 2001 by Dr. J. Choukroun, a French surgeon and pain management specialist; the platelet-rich fibrin (PRF) is considered a second-generation platelet concentrate.

Do not disturb the wound. If surgical packing was placed, leave it alone. The packing helps to keep the tooth exposed.