Forms

Please print these forms and create Patient Packets for each pre-operative appointment.  Specific instructions for each form are given below.  All patient forms must be signed before a surgery is scheduled and prescriptions are given.

 

Pre-Operative Instructions

Have patient read and sign this form, then make a photocopy for them to take home.

 

Post-Operative Instructions

Have patient take this form home.

 

Medical History

Have patient fill out and sign.  Scan or take a photo and email to Dr. Johnson for evaluation.

 

I.V. Consent

Have patient read and sign.

 

Surgical Consent

Have patient read and sign.

 

Sedation Record

Fill out top two lines (disregard SPO2 if office does not have pulse oximeter).

 
All forms with the exception of the post-operative instructions should be kept as a packet and presented to Dr. Johnson at the surgery appointment.

Program Manual

I was referred to Dr. Johnson to have my wisdom teeth extracted about 4 years ago. I was very nervous about the procedure due to my fear of needles and anything dental related. The thought of being sedated was a little overwhelming for me. On the day of surgery the scariest part for me was starting the IV and I really didn’t even feel it. I do not remember anything during surgery and am pleased to say after following his very detailed instructions for at home care I had very little pain or discomfort. During this whole experience, I discovered how interesting dentistry was. As soon as I got home I researched how to become a dental assistant and long story short, I got the amazing opportunity to start working for him less than a year later. I have had the privilege to have him as my personal dentist and teacher. I had the chance to work for him for about 2 years before having to move for my husbands job. I never would have thought that going to the dentist would end in a career choice. I can honestly say he is a great Doctor and I would definitely recommend him to anyone.

- Linda