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Click the appropriate payment button below.
Before you proceed, please check your email (including SPAM) and see if you received an invoice.
Before you proceed, please check your email (including SPAM) and see if you received an invoice.
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Invoice from Sleep Well Anesthesia
Fee schedule prepared for
Anesthesia is billed in 15-minute increments. The fee outline below is an estimate of your initial and ongoing cost.
Pre-Treatment Checklist
Pay your invoice in the customer portal.
Review the Informed Consent form that you will sign in person on the day of your procedure.
Fill out the Medical History Questionnaire.
Acknowledge that you have read the Pre-Anesthesia Instructions.
Acknowledge that you have read the Post-Anesthesia Instructions.
Post-Treatment Instructions
Call 911 in the event of an emergency.
You will not be able to drive yourself home. You may not travel home by Taxi, Bus or Uber unaccompanied.
Parents and Guardians: Maintain close supervision of your child for 24 hours to prevent injury.
Use special caution when standing, using stairs and walking. Do not perform any strenuous activity or hazardous tasks. This is for your safety.
If you have and unusual problems or any questions you should call your care team.
The practice of anesthesia and medicine is not an exact science. The reactions of each person can vary. Even when performed correctly, an anesthetic procedure can be associated with an extreme risk of serious bodily injury or death.
The following is a brief description of the anesthesia which will be available to you.
Please read carefully and discuss in detail with your anesthesia provider.
Intravenous medications will be administered. You should not feel pain, you will be very relaxed, and you will sleep through the procedure. You are monitored closely and continuously during the procedure. You may be easily aroused and will recover quickly.
Prior to your procedure, your Anesthetic Plan will be discussed with you and you will be asked to sign a form attesting to the following: