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Patient   Rights   &   Responsibilities

Patient   Rights   and   Responsibilities   Form

Below, you will find the patient rights and responsibilities.  They are composed of two pages.  Please read them both, sign and witness the forms and fax them back to 877-620-5899 or scan and email them back to info@officeanesthesiology.com or drzak@officeanesthesiology.com. 
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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