Patient Education

Patient Education

Registration

  • You are registering for the Anesthesia with Peripheral Nerve Blocks patient education.
  • Please note that:
    • This video is for your information and education only.
    • This video does not cover everything you need to know about anesthesia and is not meant to replace your doctor’s advice or to replace the informed consent process.
    • Please talk with your anesthesiologist about any questions or concerns you have about your anesthesia care.
  • Please complete the following form. The fields with red asterisks * are required.
  • Your personal information is secure; see our notice of Privacy Practices for details.
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  3. calendar *
    Enter your Date of Birth as mm/dd/yyyy
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