Before your IV sedation consultation, we have one form with two key sections. The first is a sedation intake, where we’ll collect your basic details like your name, date of birth, medical history and emergency contact. The second is the STOP-BANG questionnaire. This is a simple set of yes-or-no questions about things like snoring, daytime fatigue, and other factors. It helps us see if you might be at risk for sleep apnea, which is important for your care. Please open the form below, print it, fill it out, and bring it with you to your visit. This ensures we’re fully prepared to give you the safest and most effective treatment!  If you are unable to print this digital version and fill it out, we can provide you with a paper copy when you visit.