Safe Sedations, LLC

Justin Klanke, M.D.

Compassionate Anesthesia for Pediatric

& Special Needs Dental Patients

Patient Forms

 

Your child’s dental office will have given you this paperwork prior to your child’s procedure. In the event that they are misplaced, you may download from here.

 

Adult Patient Forms

 

Child Patient Forms

© 2023 Safe Sedations, LLC       Southern Ohio and Northern Kentucky Dental Anesthesia      Justin Klanke, MD      email us

Safe Sedations, LLC

Justin Klanke, M.D.

Compassionate Anesthesia for Pediatric

& Special Needs Dental Patients