Sedation Consult - Anesthesia & Sedation Continuing Education
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                                   FREE Anesthesia Forms

These forms are  similar to the Anesthesia Forms used by our Dental Anesthesia Practice. 

Anesthesia forms are provided to you free-of-charge as a public service to our fellow anesthesia providers. 


The forms provided are not intended to establish any standard of care. Use them at your own risk.

You may change any form as needed to suit your anesthesia practice.

Sedation Consult assumes no liability for any information inadvertently missing or in error with each form nor for any anesthesia outcomes.

​Check with your individual state board of dentistry, medicine, anesthesia, nursing, nurse anesthesia, anesthesiologist assistant, or other profession for applicable rules and regulations.



Child Anesthesia Consent (Word File)

Quick & Dirty Anesthesia Emergency Medications Uses and Possible Doses

Anesthesia Medical Emergencies in the Dental Office

DEA Form 222

Adult Anesthesia Consent (Word File)

Anesthesia Health History (Word File)

Anesthesia Financial Policy Generic (Word File)

After Your Anesthetic Instruction Sheet (Word File)

Anesthesia Day Of Preoperative Assessment (PDF)

Generic Dental Anesthesia Form (Word File)
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Physician Release for I.V. Sedation (Word File)

Nitrous Oxide Consent Form (Word File)


Anesthesia Financial Policy Dr. Schwartz (Word File)

Sedation Checklist (PDF)

I.V. Anesthesia Checklist for the Front Desk Prior to the Patient's Appointment

Ordering Anesthesia Supplies

Minnesota Allied Sedation Monitoring Certification Application

Questions?

Contact:
Dr. Allan Schwartz
Sedation Consult
(573) 268-4899
sedationconsult@outlook.com
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Allan Schwartz, DDS, CRNA
(573) 268-4899
SedationConsult@outlook.com  
​
AssessLive@hotmail.com
​
Sedation Consult, LLC
6202 Signature Ridge
Columbia, Missouri 65201

All classes available for ADA/CERP and AGD PACE creditS.
​
Copyright © Allan Schwartz, DDS, CRNA
 and Sedation Consult, LLC
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I love how this course was done (Essentials of Monitoring Online). The material was perfect and very conducive to learning.
Matthew A. Tobler, DDS

-- Larry Hargreaves , DDS

Dr.Schwartz presents an excellent program. His course is a great refresher course for dentists who are sedation providers. his review of the sedation experience and medical emergencies is outstanding.-- Derrick Veneman, DDS, MAGD

Great Course. The instructor made the topics easy to understand. Ida Guynn, DA

Dr. Schwartz was very helpful and was able to respond quickly if I had any problems. Erin Prilwetz, LDA

DDr.. Allan Schwartz is a leader in the field of anesthesiology and its safe utilization in medicine and in the field of dentistry. His focus on patient care and comfort, intricate knowledge of an ever-changing discipline, and attention to detail are all invaluable to provide a safe experience for both the healthcare providers and the patients they care for. --
Scott C. Mahlin, DDS, FAGD, FICOI
​General Dentist St. Louis, MO


Dr. Schwartz is a fine example of one who can share their clinical experience and didactic material in an effective way. -- Mike Lowe, MD, DDS

Most informative and enjoyable class I have ever taken. Well worth the time and money. Great INstructor --
​Connie Denzer, LDA
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