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Oral, Facial Surgery & Dental Implants

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Anesthesia Preference

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Surgery Instructions or Remarks

Please Indicate Teeth To Be Treated or Extracted "Permanent"

Please Indicate Teeth To Be Treated or Extracted "Primary"

PATIENT INSTRUCTIONS FOR GENERAL ANESTHESIA

1. Please do not eat or drink anything for at least eight hours before appointment except medications

2. Have someone to drive you home following surgery.

3. If under 18, please have parent or guardian with you, or bring written consent.