Click the box above to complete the medical history prior to anesthesia
Haga clic en el cuadro de arriba para completar el historial médico antes de la anestesia
Mobile dental anesthesia provider servicing Boulder, Denver, Fort Collins, Colorado Springs and everything in between.
Covid-19 Screening and Disclosure/Consent
In order to reduce the risk of spreading COVID-19, we have asked you a number of “screening” questions below. For the safety of our staff, other patients, and yourself, please be truthful and candid
in your answers.