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Oral & Facial Surgeons of Illinois

Address:
Springfield
3007 Spring Mill Dr
Springfield, IL 62704

Other Locations
Decatur

Phone:
(217) 546-8100 – Springfield
(217) 876-1708 – Decatur

Hours:
Hours: M-Th 7:30 AM - 4:30 PM
F: 7:30 AM - 3:30 PM


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Inderal Betablockers
Digoxin
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Thyroid Problems Stomach Ulcers
Bruise Easily
Lung DiseaseBreathing Problems
Xray Treatments for Tumor or Chemotherapy
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Antibiotics
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Ulcer Medication
Anticoagulants Blood Thinners
Tranquilizers
Heart Medications
Seizure Medication
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Nerve Pills
Thyroid Medication
Cortisone
Aspirin
AntihistaminesDecongestants
Prednisone
InsulinDiabetic Pills
Calcium Channel Blockers
Any Street Drug
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Aspirin or Ibuprofen
Latex Products
Bisulfates
Local Anesthetics
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General Anesthesia
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Diabetes Kidney Disease or Liver Disease
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Blood Clotting Disorder
Previous Heart Surgery Stroke
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Congenital Heart Defect
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Codeine
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Swelling of the Ankles
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To your knowledge, is there any reason why surgery or anesthesia should not be performed on you?
Are you pregnant, do you have reason to suspect you may be pregnant, or are you planning pregnancy?
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Are you wearing contact lenses?
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Do you abuse or have you abused alcohol or habit-forming drugs?
Previous Treatment for Jaw Problem
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Are you on any weight loss or other special diets?
Are you nursing?
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03/22/2026Click to Sign
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