Get Preoperative Questionnaire

Completing the preoperative questionnaire is an essential step in preparing for your upcoming procedure. This guide provides clear and detailed instructions on how to accurately fill out the questionnaire online, ensuring that your healthcare team has the necessary information for your safety and care.

Follow the steps to complete your questionnaire effectively.

1. Press the ‘Get Form’ button to access the questionnaire and open it in the editing interface.
2. Begin by entering your personal information in the designated fields. This includes your name, age, date of birth, gender, height, weight, and family doctor’s details. Ensure all information is accurate.
3. Proceed to the allergy section. Indicate whether you have any allergies to medications by checking ‘Yes’ or ‘No’. If you check ‘Yes’, list all allergies and the reactions experienced in the provided space.
4. Next, review the medical history section. Indicate whether you currently have or have had specific health issues by selecting ‘Yes’ or ‘No’ for each item listed. Pay attention to any conditions relevant to your surgical procedure.
5. If you are a woman, provide the requested information under the women’s section, including questions about pregnancy and breastfeeding status.
6. In the advanced health care directive section, state whether you have a living will, are an organ donor, or have a medical power of attorney.
7. Continue with the pain screening and nutritional screening sections. Respond to questions regarding chronic pain, diet, and any unintentional weight loss.
8. Complete the substance screening section, disclosing tobacco, alcohol, and drug use. Be honest and thorough, as this information contributes to your care plan.
9. Finally, list your current medications, including prescribed and over-the-counter drugs. Include dosage, frequency, route, and purpose for each medication.
10. Review all entries for accuracy and completeness. Once satisfied, save your changes. You can choose to download or print the completed questionnaire for your records or to share with your healthcare provider.

Complete your preoperative questionnaire online to ensure a smooth surgical experience.