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How to fill out the WRHA Surgery Program PREOP HISTORY and PHYSICAL FORM online
Filling out the WRHA Surgery Program Preop History and Physical Form is an essential part of preparing for surgery. This guide will help you navigate the process of completing the form online, ensuring that you provide all necessary information correctly and efficiently.
Follow the steps to complete the form seamlessly.
- Press the ‘Get Form’ button to access the form and open it in the document editor.
- Begin with Part A - Demographics. Provide your health care directive status and personal information, including your PHIN, birth date, legal name, and address.
- Enter your contact numbers, attending physician, and referring physician names. Indicate if an interpreter is required and specify the language if applicable.
- Move to Part B - History. Describe your diagnosis, proposed procedure, and a detailed history of your present illness.
- Complete the fields regarding your medical history, surgical history, and any adverse reactions to previous anesthesia. Ensure to list all medications you are currently taking, including over-the-counter drugs.
- Indicate your smoking status, recreational drug use, alcohol consumption, and any allergies you may have. Provide details for each section as required.
- In Part C - Physical, input your height, weight, and details on the head and neck examination, cardiovascular system, respiratory system, and any other relevant findings.
- Proceed to Part D - Laboratory Screening. Ensure all necessary preoperative tests are documented, and attach the results as needed.
- In Part E - Examining Physician’s Summary, include comments from your examining physician, their name, address, phone number, and date.
- Review the completed form for accuracy and completeness before saving your changes. You can download, print, or share the form as required.
Don't hesitate to complete your documents online to ensure a smooth surgical process.
The H & P must include a chief complaint, history of present illness, a review of systems, past surgical history, family history, social history, medication list, allergies, and results of a physical examination including vital signs.
Fill WRHA Surgery Program PREOP HISTORY And PHYSICAL FORM ...
WRHA Surgery Program. PREOP HISTORY and PHYSICAL FORM PART 1. The completed forms must be submitted a minimum​​TWO MONTHS prior to the surgery date​​( ​unless told otherwise) ​. (2) Schedule an appointment with your family doctor or primary care provider to complete a. Please fill out this form (questions 1-33) to help our Health Care Team meet your medical needs. Preop History and Physical Form.
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