Get Fmc Spine Surgery Request Form - Alberta Health Services

Filling out the FMC spine surgery request form is an essential step in ensuring that necessary procedures are appropriately planned and executed. This guide will help you navigate the process of completing the form online with clear and concise instructions.

Follow the steps to successfully complete the form.

1. Click 'Get Form' button to access the FMC spine surgery request form and open it in your preferred viewing application.
2. Begin by filling in the date of surgery in the designated space at the top of the form. Ensure the date is two weeks prior to the scheduled surgery date.
3. Next, provide the name of the person requesting the surgery in the 'Requested By' section, followed by the name of the surgeon performing the procedure.
4. Specify the procedure that is being requested in the appropriate field. Make sure to provide detailed information to avoid any misunderstandings.
5. Indicate the operative level and the position of the surgery on the form. This information is crucial for the surgical team.
6. Select the items from the listed categories, such as cervical sets or thoracolumbar sets, by checking the appropriate boxes. Ensure accuracy in the selection of instruments and equipment required for the procedure.
7. If necessary, provide additional comments, instruments needed, or special instructions in the designated space towards the end of the form.
8. Review all entries for accuracy and completeness. Once confirmed, you can save your changes, or print the form for submission as needed.

Complete your FMC spine surgery request form online to ensure timely and effective medical care.