Oral Sedation Consent Form

CONSENT TO CONSCIOUS ORAL SEDATION FOR RESTORATIVE AND ORAL SURGERY

Consent(Required)
Consent(Required)
Consent(Required)
I understand that there are risks and limitations to all dental procedures. For conscious sedation, these include:
Consent(Required)
Consent(Required)
Consent(Required)
My obligations for Conscious Oral Sedation:
Obligations(Required)
Obligations(Required)
Obligations(Required)
I have read and understood the risks and complications which may occur in connection with this procedure. I understand that the potential risks are not limited to those described above. I agree that I have been given and understood enough information to give my consent for the above procedure and to any other treatment or service deemed necessary or advisable. I have had the opportunity to ask questions and all such questions have been answered to my satisfaction. I have given a full and accurate report of my medical history, including allergies, conditions, medications and history of illness. I authorize and agree to undergo the procedure.
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Name(Required)

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