South West Dental Anesthesia

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You are here: Home / Dental Sedation: Forms & Instructions

Dental Sedation: Forms & Instructions

Dentist Anestheologist Office Assistant

Veronica Vasquez-Moreno

Here, you will find all the forms you will need to complete. You will also find instructions for yourself or for your child. You can download and print them in the privacy of your home.

First, we need you to complete a patient information form. This is an on-line form that you complete and submit directly to our office. Or we always have forms available here at our office.

Patient Information for all patients: (All PATIENTS)

Next you will need your PRE AND POST anesthesia instructions:
Anesthesia instructions – (ADULTS)
Anesthesia instructions – (CHILDREN)

Next you need to complete the anesthesia consent form:
Consent for Anesthesia –  (ADULTS)
Consent for Anesthesia –  (CHILDREN)

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NOTE: For some of this information you will need Adobe PDF Reader.  Adobe PDF Reader is free. Just (CLICK HERE) and when given a choice between run and save, click run. That will install the application on your computer and you will be ready to read and download.

Your Doctor

Anthony Caputo, DDS, MA, FACD, FICD, DADBA, DNDBA

Serving You in Our Office

Paula Guerra - Patient Care Coordinator

2015 Patients’ Choice Award

Top Dentistry Clinics in Tucson, AZ
Dr. Anthony C. Caputo, DDS is ranked in the Top Dentistry offices in Tucson, 2015.
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For More Information

Southwest Dental Anesthesia Services
5255 N Salida Del Sol Dr
Tucson, AZ 85718

520.571.7951

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