Before Local Anesthesia - Niagara dental implant & oral surgery

Before Local Anesthesia

Your procedure will be performed under local anesthesia. Please take note of the following:

  • You may eat your meals as usual prior to your appointment
  • Please remove all oral and facial jewelry, piercing etc. prior to your appointment.
  • Wear loose clothing, a tee shirt or dress in layers during the winter months.
  • Plan to be with someone you trust for the remainder of the day and into the following day.
  • If you are under 18, you must be accompanied by a parent or legal guardian. If a legal guardian is accompanying a minor please be prepared to show proof of guardianship
  • Lastly, please make sure that all insurance information is current and up-to-date. If there is a change in your insurance prior to your procedure, please be sure to inform our office as soon as possible.

EXPERIENCE COMFORTABLE, PAIN-FREE SURGERY

Request your consultation today.

Date of Birth:


I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.