Get Pre-anesthesia Evaluation And Testing Center University Of Virginia Health Sciences Center 1215 Lee

Completing the Pre-anesthesia Evaluation form is an essential step in ensuring a smooth and safe experience before your procedure. This guide will provide clear and supportive instructions to assist you in filling out the form accurately, online.

Follow the steps to accurately complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient's full name in the designated field at the top of the form. Ensure the name matches official healthcare records for accuracy.
3. Next, provide the patient's date of birth in the format of month/day/year. This information is crucial for identifying the patient.
4. Fill in the address section, including the street address, city, state, and zip code. This helps maintain accurate contact information for follow-up.
5. Enter the home or work phone number in the respective field. This contact information may be necessary for scheduling or follow-up calls.
6. In the section requesting the type and amount of information to be disclosed, select the appropriate checkboxes corresponding to the medical documents needed, such as discharge summary or laboratory results.
7. Designate the release information by entering the name of the healthcare provider or entity receiving the information, ensuring the correct recipient receives the necessary documentation.
8. If applicable, complete the contact information section for any questions regarding the request by providing a name and phone number.
9. Once all fields are completed, you can save changes, download, print, or share the form as necessary.

Complete your documents online today for a streamlined pre-anesthesia process.