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Patient   Forms

Patient   Forms

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After a consultation phone call with one of our nurses, patient forms will be directly emailed to you. Please download the forms and sign where indicated.  Also, some of the forms require a witness signature.  Once you have filled out all the forms, please e-mail or fax back to OADC.  All forms must be received by OADC at least two weeks prior to the scheduled surgical date.  
Thank you in advance. 



Let us fulfill your anesthesia needs

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Hours

M-F: 9 am - 5 pm CST
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Telephone

(630)620-9199
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Email

drzak@officeanesthesiology.com
Imagine Comfort

© 2003-2025 - Office Anesthesiology and Dental Consultants, PC
  • Home
    • What is Accreditation?
    • Doctors: Why Office-Based Anesthesia
    • Patients: Why Office-Based Anesthesia
  • About Us
    • Dr. Zak Messieha
    • Our Care Team
  • Services
  • Our Patients
    • OADC Policies
    • Forms
    • Fees/Insurance
    • Patient Rights & Responsibilities
    • Grievance Policy
  • Providers
    • Getting Started/FAQ's
    • Referral Form
  • Testimonials
    • Patient Testimonials
    • Surgical and Dental Provider Testimonials
  • Media
  • Contact Us