Forms | Patient Information by DreamGuard Anesthesia

[vc_row content_width=”grid”][vc_column width=”2/3″ css=”.vc_custom_1594596624702{margin-bottom: 50px !important;}”][mkd_section_title title=”Patient Forms” title_color=”#414042″ title_text_transform=”” title_text_align=”” margin_bottom=”” title_size=””][mkd_separator position=”left” color=”#00ade6″ border_style=”solid” width=”80″ thickness=”8″][vc_column_text]The Anesthesia Patient information and Medical History forms will help us tailor your care to your specific needs. The pre- and post-Anesthesia Instructions will help you prepare for your upcoming appointment. All forms of anesthesia have associated risks. The anesthesia consent form is meant to inform you of these risks. The combination of today’s sophisticated anesthesia equipment, modern anesthetic medications and superior anesthetic techniques performed by our providers help to make anesthesia in the outpatient setting safer than ever. Submit completed forms to your treating dental office or to DreamGuard Anesthesia Services two weeks prior to your appointment.[/vc_column_text][vc_empty_space height=”40px”][vc_column_text]

Adult Forms

[/vc_column_text][vc_empty_space height=”20px”][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”English”][mkd_info_list_item title=”DOWNLOAD ALL” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-Forms-English-Updated-2022-.pdf”][mkd_info_list_item title=”Patient Instructions” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-PatientInstructions-.pdf”][mkd_info_list_item title=”Pre-Operative Instructions” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-Pre-Instructions-.pdf”][mkd_info_list_item title=”Post-Operative Instructions” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-Post-Instructions-.pdf”][mkd_info_list_item title=”Patient Information (Confidential)” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-PatientInfo.pdf”][mkd_info_list_item title=”Financial Policy Information” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-FinancialPolicy.pdf”][mkd_info_list_item title=”Credit Card Deposit” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-Payment.pdf”][mkd_info_list_item title=”Medical History” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-MedicalHistory.pdf”][mkd_info_list_item title=”Disclosure and Consent” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-Disclosure.pdf”][mkd_info_list_item title=”HIPAA” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-HIPAA.pdf”][/mkd_accordion_tab][mkd_accordion_tab icon_pack=”” title=”Spanish”][mkd_info_list_item title=”DESCARGA TODOS” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-Forms-Spanish-Updated-2022.pdf”][mkd_info_list_item title=”Instrucciones Del Paciente” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-Instructions.pdf”][mkd_info_list_item title=”Instrucciones Antes de la Anestesia” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-Pre-Instructions.pdf”][mkd_info_list_item title=”Instrucciones Despues De la Anestesia” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-Post-Instructions.pdf”][mkd_info_list_item title=”Informacion Del Paciente” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-PatientInfo.pdf”][mkd_info_list_item title=”Acuerdo de Politica Financiera” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-FinancialPolicy.pdf”][mkd_info_list_item title=”Deposito/Pago con Tarjeta de Credito” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-Payment.pdf”][mkd_info_list_item title=”Historial Medico” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-MedicalHistory.pdf”][mkd_info_list_item title=”Revelacion y Consentimiento” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-Disclosure.pdf”][mkd_info_list_item title=”HIPAA” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Adult-S-HIPAA.pdf”][/mkd_accordion_tab][/mkd_accordion][vc_empty_space height=”50px”][vc_column_text]

Pediatric Forms

[/vc_column_text][vc_empty_space height=”20px”][mkd_accordion style=”toggle”][mkd_accordion_tab icon_pack=”” title=”English”][mkd_info_list_item title=”DOWNLOAD ALL” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-Forms-English-Final-2022-.pdf”][mkd_info_list_item title=”Patient Instructions” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-PatientInstructions.pdf”][mkd_info_list_item title=”Pre-Operative Instructions” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-Pre-Instructions.pdf”][mkd_info_list_item title=”Post-Operative Instructions” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-Post-Instructions.pdf”][mkd_info_list_item title=”Patient Information” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-PatientInfo.pdf”][mkd_info_list_item title=”Financial Policy Agreement” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-FinancialPolicy.pdf”][mkd_info_list_item title=”Credit Card Deposit” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-Payment.pdf”][mkd_info_list_item title=”Medical History” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-MedicalHistory.pdf”][mkd_info_list_item title=”Disclosure and Consent” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-Disclosure.pdf”][mkd_info_list_item title=”HIPAA” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-HIPAA.pdf”][/mkd_accordion_tab][mkd_accordion_tab icon_pack=”” title=”Spanish”][mkd_info_list_item title=”DESCARGA TODOS” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-Forms-Spanish-Final-2022.pdf”][mkd_info_list_item title=”Instrucciones Del Paciente” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-PatientInstructions.pdf”][mkd_info_list_item title=”Instrucciones Antes de la Anestesia” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-Pre-Instructions.pdf”][mkd_info_list_item title=”Instrucciones Despues De La Anestesia” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-Post-Instructions.pdf”][mkd_info_list_item title=”Informacion Del Paciente” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-PatientInfo.pdf”][mkd_info_list_item title=”Acuerdo de Politica Financiera” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-FinancialPolicy.pdf”][mkd_info_list_item title=”Deposito/Pago con Tarjeta de Credito” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-Payment.pdf”][mkd_info_list_item title=”Historial Medico” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-MedicalHistory.pdf”][mkd_info_list_item title=”Revelacion y Consentimiento” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-Disclosure.pdf”][mkd_info_list_item title=”HIPAA” target=”_blank” link=”https://dreamguardanesthesia.com/wp-content/uploads/2022/07/Pediatric-S-HIPAA.pdf”][/mkd_accordion_tab][/mkd_accordion][/vc_column][vc_column width=”1/3″ css=”.vc_custom_1594598101473{padding-right: 50px !important;padding-bottom: 30px !important;padding-left: 50px !important;background-color: #414042 !important;}”][vc_column_text]

PATIENT PORTAL

To access and edit your personal information, to enter your billing information, and to schedule or update your appointment, click the button below.

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