Referring Dentist Form

Referring Dentist Form

Scott A. Noren DDS
Diplomate, American Board of Oral Surgery

Important Instructions:

  1. If IV sedation is planned, please do not eat or drink 6 hours prior to surgery time. Be well fed and hydrated the night before surgery. Water in small sips is ok up to 3 hours prior but no other food or liquids. The exception to this is small sips of water to swallow medication ok'd by the doctor.
  2. Have a responsible adult to drive and accompany you to the appointment if IV sedation is used. For nitrous (laughing gas) this is not necessary. For IV sedation, you should not drive for 24 hours.
  3. Minors must have a parent or legal guardian present at both the consultation and surgery appointments.
  4. Call us with any questions please; don't be afraid to ask!
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Please email X-rays to ithacaoralsurgery@pauboxmail.com