On this page you will find numerous resources and information. Please browse this page as needed.
DOWNLOADS
Forms required for all new patients:
- 1. Patient Registration
- 2. Notice of Privacy Practices
- 3. Privacy Consent Form
- 4. Endodontic Information Form
- 5. Financial Policy
Brochures to help explain and understand our services:
- 1. How To Get Ready
- 2. Post Operative Information: Root Canal Treatment
- 3. Post Operative Information: Endodontic Surgery
- 4. Post Operative Pain Control Management
Forms required for all Sedation or Anesthesia Procedures:
- 1. Sedation Medical History
- 2. Patient Pre-Op Sedation/Anesthesia Instructions
- 3. Fasting (NPO) Instructions
- 4. Post Op Sedation/Anesthesia Instructions
- 5. Informed Consent: Oral (pill) Sedation and Nitrous Oxide
- 6. Informed Consent: Intraveneous (IV) Sedation and Anesthesia
Miscellaneous Forms, Charts, Instructional Graphics
- Continuum of Anesthesia
- ASA Classification
- ASA Fasting Requirements
- Body Mass Index Chart
- Diabetes Symptoms
- Glucose Ranges
- Normal Blood Values
- Office Referral Slip
- What to do with a “Knocked-Out” Tooth
Insurance Codes for Anesthesia & Endodontic Procedures