If you feel that your patient would benefit from sedation or hospital dentistry, kindly provide the medical clearance to your patient. In addition, we ask that the Sedation and Hospital Referral Form be completed by your office and emailed via an encrypted e-mail, faxed, or mailed to us, along with a copy of your patient’s treatment plan and any available radiographs. Prior to being scheduled for a sedation appointment, however, your patient would need to have the medical clearance form completed and signed by his/her primary care physician or pediatrician. Once submitted, the medical clearance is then reviewed by the anesthesiologist and if the patient meets our sedation criteria, we will schedule him/her at our sedation office. We will also collect a fee from the patient, which covers his/her anesthesia time (regardless of the length of the dental procedure) and will bill the patient’s dental insurance for the dental treatment. There are no other charges incurred by the patient. We will also provide your patient with eating and drinking instructions prior to his/her sedation appointment. If the patient does not meet our sedation criteria, then we will schedule the patient at Joe DiMaggio Children’s Hospital.