Get Operating Room Posting Information Sheet Baltimore ... - Staging Mybwmc

Filling out the operating room posting information sheet is essential for scheduling necessary services for patients at Baltimore Washington Medical Center. This guide provides clear steps to ensure that all necessary information is accurately completed.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to obtain the operating room posting information sheet and open it in your preferred editor.
2. Begin by completing SIDE ONE of the form. Ensure you provide the BWMC medical record number, last name, first name, and middle initial. Enter your home address, including city, state, and zip code. Include your home and work phone numbers.
3. Fill in the date of birth, sex, and marital status. Indicate whether the patient is deaf by selecting 'Yes' or 'No'. Also, provide the patient's cell number.
4. Enter the social security number, primary language, and details of the next of kin or legal guardian, including their name, relationship to the patient, and phone number.
5. Indicate any latex allergies and malignant hyperthermia status by selecting 'Yes' or 'No'. Include details regarding anesthesia preferences as well as any other allergies and the date of injury if applicable.
6. List primary and secondary insurance information, including policy numbers, policy holder names, and group numbers. Provide the surgeon's name and pre-certification authorization number if available.
7. Fill in scheduled surgery date and time, office phone number, and primary care provider (PCP) details. Estimate the surgical time needed and provide the name of the first assistant.
8. Select the visit type (inpatient, outpatient, or other) and indicate any special requests. Provide clinical diagnosis and relevant ICD9 codes, along with primary and any additional procedures along with their respective CPT codes.
9. Use the space provided for special requests and equipment, detailing any necessary information.
10. After completing the form, fax SIDE TWO to the designated number. Ensure all information is clear and legible before submission.

Complete the operating room posting information sheet online today to schedule necessary services for your patient.