Arizona State Board of Dental Examiners
Arizona State Board of Dental Examiners. Adverse Occurrence Report Form. Note. Arizona Administrative Code R4-11-1305 states: If a death, or incident causing a patient temporary or permanent physical or mental injury or requiring medical intervention, occurs in an outpatient facility as a direct result of the administration of general anesthesia, semi-conscious sedation, conscious sedation, or ... ................
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