Documents

If you have not received proper paperwork to fill out prior to an appointment, please download the documents below, complete them and bring them with you to your appointment.

Prep Instructions

Download following documents in PDF format.

New Patient Packet

Download The New Patient Packet  -   PDF file

This PDF file includes the following documents

  • This PDF file includes the following documents
    • New_Patient_Letter
    • Patient_Information_Sheet
    • Personal_Representative_Form
    • Medication_Allergy_Sheet
    • Information_For_Your_Physician
    • Review_of_Systems
    • Financial_Policy

Procedure Packet

Download The Procedure Packet  -   PDF file

  • This PDF file includes the following documents
    • Patient_Information_Sheet
    • Personal_Representative_Form
    • Medication_Allergy_Sheet
    • Pre_Sedation_Sheet
    • Plaza_Anesthesia
    • Consent_Letter
    • Financial_Policy

The documents above require Adobe Reader be installed on your computer. If you do not have Adobe Reader, you may download it from Adobe for free.