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PREOPERATIVE QUESTIONNAIRE Patient Label PATIENT NAME: AGE: DATE OF BIRTH: SEX: M F HT: WT: FAMILY DOCTOR: DATE LAST SEEN: CITY: PHONE: ( Do you have any allergies to medication? Check if an allergy.

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The testing and assessment will include a nurse call for medical health history, a review of medications and a review by an anesthesiologist. It may also include lab tests, EKG, nurse assessment and review of records from specialists.

If this is the case the nurse will explain the tests to you. How long will pre operative assessment take? Your appointment will take between 1 - 3 hours, depending on the particular tests that you need to have. An average appointment takes about one hour.

A history and physical examination, focusing on risk factors for cardiac and pulmonary complications and a determination of the patient's functional capacity, are essential to any preoperative evaluation.

At some hospitals, you'll be asked to attend a pre-operative assessment, which may be an appointment with a nurse or doctor, a telephone assessment, or an email assessment. You'll be asked questions about your health, medical history, and home circumstances.

These preoperative preparations include patient and family education and counseling, preoperative cessation of smoking, drinking, and recreational drugs, preoperative exercise, appropriate preoperative fasting, avoidance of routine preoperative MBP and enema, optimization of preoperative metabolism, prophylaxis of ...

Your completed medication history form if you haven't already given this information to a nurse during your pre-surgery consultation. Current reports from medical tests, such as blood work, X-rays or EKG results, if you have them. A list of any medications you take and their dosages. Your health insurance card. A photo ...

At some hospitals, you'll be asked to attend a pre-operative assessment, which may be an appointment with a nurse or doctor, a telephone assessment, or an email assessment. You'll be asked questions about your health, medical history, and home circumstances.

Tests Before Surgery Common tests that your surgeon may ask you to have if you have not had them recently are: Blood tests such as a complete blood count (CBC) and kidney, liver, and blood sugar tests. Chest x-ray to check your lungs. ECG (electrocardiogram) to check your heart.

The night before surgery, avoid eating or drinking anything after midnight. Bathe or shower the morning of surgery to minimize the risk of infection. Do not consume alcohol 24 hours prior to surgery. Refrain from smoking 12 hours prior to surgery. These substances can cause adverse reactions to anesthesia and ...

An overall summary of your injury/ailment. This is why you're here! ... Medical History. ... Family History. ... Current Medications. ... General Allergies. ... X-Rays, Images, and other information from past appointments. ... Your Questions.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232