Dear Patient,

Your procedure has been booked, which will be carried out under intravenous Conscious Sedation.

Please take a few minutes to complete the forms that follow.


Upon submission Advanced Sedation will send the completed forms to your doctor/surgeon.

In order to comply with the General Medical and/or Dental Council guidelines you will be required to sign a physical copy (provided by your doctor/surgeon) of the completed forms on the day of your surgery.