Requesting an Appointment
Thank you for choosing Special Anesthesia Services. Our CRNAs work with over 100 dentists in Kansas, including many in the Wichita area, providing sedation services to children and adults in the dental office setting.
Please complete the
Appointment Request Form. All boxes are required in order to submit the form.
Next Steps
- After the Appointment Request Form has been completed, Special Anesthesia Services will process the information.
- You will receive a link with the required Sedation Paperwork through a text and/or email. Please complete all required information and upload a copy of the patient’s insurance card when prompted. This information is REQUIRED in order to proceed with the sedation appointment.
- Once the Sedation Paperwork packet has been completed and submitted, a staff member from Special Anesthesia Services will reach out regarding medical clearance and finances/deposit for the upcoming appointment (if needed).
- Our office will call 1 week prior to the scheduled sedation appointment to complete NPO/Pre-Op instructions for the upcoming appointment.
Please contact our office with any questions or concerns, 316-788-5939. Thank you!