Download, fill out and submit the general anesthesia permit application below.

You will also need to request a DEA 222 Form from the DEA website. This is required for purchase of required narcotics. A DEA Number, Last Name or Business Name, and Phone Number are required.

General Anesthesia Application

Download by Clicking Icon Above


Schedule an In-Office Appointment

Lake Area Anesthesia will come to you! Simply click below. SCHEDULE NOW