I was informed of the objectives of the principal treatment, the treatment techniques and equipment
involved. It was explained to me that there are other sedation technique available and I also received
information about the advantages and disadvantages of sedation.
I also received explanation concerning the side effects of the Principal Treatment, including nausea,
vomiting , weakness, tiredness, desire for sleep, hallucinations and anxiety. These symptoms vanish as
soon as the Principal Treatment is terminated.
I am aware and I understand the importance of providing accurate information regarding my health
condition and of following all the instructions given to me by the treating staff/doctor, including the need
to fast for two hours prior to the beginning of the treatment.
I hereby give my consent to the use of N2O sedation during dental treatment
