O Oral Conscious Sedation O Conscious Sedation 7. ETHNIC BACKGROUND (Optional): Mark all that apply O African American / Black r African O American Indian / Native American / Alaskan Native Asian O Cambodian O Korean O Chinese O Thai O Indian O Vietnamese O Indonesian O Other Asian O Japanese Latino I H

O Oral Conscious Sedation O Conscious Sedation 7. ETHNIC BACKGROUND (Optional): Mark all that apply O African American / Black / African O American Indian / Native American / Alaskan Native Asian Latino / Hispanic O Cambodian O Korean O Central O Chinese O Thai American O Indian O Vietnamese O South O