Providing proper informed consent is an integral
part of appropriate patient-provider relations. Dental
providers should make every attempt to disclose all
relevant information to the patient or legal guardian in
order for them to make an informed decision regarding
any proposed treatment. The Standard Form 522,
Request for Administration of Anesthesia and for
Performance of Operations and other Procedures (fig.
5-1) should be used when informed consent is
required, including the use of intravenous conscious
Figure 5-1.Request for Administration of Anesthesia and for Performance of Operations and Other Procedures, SF 522.