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Other Ways to Connect

phone: 317-924-2390
fax: 317-924-2391

Patient Grievances

Useful Links

  • American Society of Dental Anesthesiologists(ASDA)

  • American Academy of Pediatric Dentistry Statement on Office-Based General Anesthesia for the Pediatric Dental Patient

Patient Forms

The following forms will need to be completed before your anesthesia is performed. They may be downloaded, printed and completed in advance for your convenience.  

Patient Information Form

English | Spanish

Health History Form

English | Spanish


Informed Consent Form

English | Spanish

Pre-Anesthesia Instructions

English | Spanish