Sedation Packet

Before the Appointment (Required)

• Changes in health: Any change in health status prior to the sedation appointment—especially a cold or fever within 7 days—may require rescheduling for safety. Please inform our office or PDAA immediately.
• Medications: Any necessary medications must be cleared with our office prior to the appointment.

NPO (Fasting) Restrictions

• Your child may have a light breakfast such as toast, pancakes, or fruit (NO meat) up to 6 hours before the appointment time.
• Your child cannot have ANY food within 6 hours prior to your arrival time.
• Clear liquids (water, apple juice or juice without pulp, Jell-O, Popsicles, Gatorade) are allowed up to 3 hours before the procedure.
• Nothing by mouth for 3 hours prior to the procedure.
• Important: Not following NPO instructions may result in delay or cancellation.
• Questions about restrictions? Contact a PDAA nurse: (813) 545-9924.

Supervision & Transportation

• Two adults must accompany the patient to the sedation appointment (one must be the legal guardian).
• No school/daycare before or after the appointment.
• Dress your child in loose-fitting clothes.
• Your child may be sleepy or irritable afterward—no walking or playing without close supervision.

Appointment Time & Arrival

• Appointment time is confirmed about 1 week prior. A preliminary text/email may not be the final time.
• You will receive a call from our team about 1 week before with the confirmed time.
• Please arrive 30 minutes early for check-in.
• On arrival, you'll sign the permit/consent for sedation and your child will be weighed to confirm dosage.

During Treatment

• Your child may be placed in a protective wrap to prevent unnecessary movement.
• Monitoring equipment and additional personnel will be present to ensure wellbeing.
• Parents/guardians are not permitted in the operatory. Please remain in the waiting room.
• If you must leave, check with reception so we can reach you.

After Treatment (Getting Home + Eating)

• Monitor your child closely for signs of distress and secure them in a car seat/seatbelt.
• Two adults are required to accompany the child home.
• Encourage liquids as soon as possible (water, clear fluids, broth, juice, Gatorade).
• Soft bland food may be taken when desired.
• If vomiting occurs: stop intake for 1–2 hours, then restart with small amounts of clear liquid.

Problems, Emergencies, Cancellation, Payment

• Call our office if vomiting persists beyond 6 hours, fever persists beyond 24 hours, breathing difficulty occurs, or for any concern.
• Emergency: Office (904) 471-8500 • Emergency line (386) 237-8485
• Cancellation: 48-hour notice required. After a second cancellation, the appointment may not be rescheduled.
• Deposit/Payment: A $250 anesthesia (PDAA) deposit and a $100 dental treatment deposit are required to reserve your sedation appointment.
• Forms of payment: CareCredit, cash, credit/debit cards (no personal checks). Anesthesia fees are separate and may differ.

This section reflects the instructions provided for sedation appointments.

Didn't complete this in office? Download, review, and complete these instructions at home. Completion is required prior to your sedation appointment.

CareCredit Options

If you'd like to spread payments over time, CareCredit may be a good option. Call us if you need help applying or understanding plan options.

Tip: If you were approved previously, CareCredit often allows you to reuse your account for future visits.