Escort Consent Form Logo
  • Welcome To Morpheus Dental Sedation


    You have been nominated to act as an escort for a patient following completion of their dental procedure.

    Please read this information carefully to understand how to prepare, and what to expect after the sedation session. If you have any questions, feel free to contact us.

  • Important Reminders:


    •  You (the escort) must be reachable by phone.
    Ideally, we would meet you before beginning the patient's treatment.


    • Plan for rest. Do not schedule any important tasks or responsibilities for the
    remainder of the day after the patient's appointment.

    If you have any queries at all about the sedation, please get in touch and we’ll be
    sure to answer any questions you may have and put your mind at ease.

  • Consent Agreement

  • Consent for Responsible Adult (Escort)

     

    Thank you for assisting the patient post-sedation. Please follow these guidelines to ensure their safety.


    After IV Sedation:


    • No alcohol until the next day.


    • Walk with the patient using the crook of your elbow for support.


    • Assist with stairs. Walk behind them when ascending.


    • Avoid important discussions or signing documents – the patient may not
    remember them.


    • No operating machinery, cooking, or handling hot objects.


    • Do not let the patient go outside alone.


    • The patient should rest in a safe and supervised space (e.g., on a sofa in front of
    the TV).


    “I confirm that I have read and understood the post-sedation care instructions.”

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  • Thank you for taking the time to complete this consent form. 

    Please click SUBMIT below to complete the form.

    This consent form aims to make you fully informed and prepared for the sedation
    experience.

    If you have any concerns, please contact our team before your
    appointment.

    hello@morpheusdentalsedation.co.uk


    Kind Regards,


    Morpheus Dental Sedation

     

     

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