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Get Doctors Clearance
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How to fill out the Doctors Clearance online
Filling out the Doctors Clearance form is an essential step in preparing for your upcoming surgery. This guide will help you navigate the form's components clearly and effectively, ensuring you provide all necessary information.
Follow the steps to complete your Doctors Clearance form successfully.
- Press the ‘Get Form’ button to access the Doctors Clearance form and open it for editing.
- Begin by filling in your name in the 'Patient Name' field, followed by the name of your surgeon in the designated space.
- Specify the procedure you will undergo along with the type of anesthesia indicated by checking either 'MAC' or 'General' as applicable.
- Enter your date of birth in the 'DOB' field and include the scheduled surgery date along with the expected length of the procedure.
- Make sure to obtain medical clearance from your primary care provider within 30 days prior to your surgery, as outlined in the instructions.
- If you are 60 years or older, ensure that an electrocardiogram (EKG) is completed: 'MAC' requires an EKG within one year, while 'General' requires it within 30 days of your surgery.
- If you have other medical conditions, additional tests may be necessary, which your doctor will advise.
- Once completed, ensure all results are either faxed to (212) 342-5435 or delivered to the surgical scheduling office at least seven business days before your surgery date.
- After filling out the form, save your changes, and then you may download, print, or share the form as necessary.
Complete your Doctors Clearance form online today for a smoother surgical experience.
The term is often used by surgeons requesting a medical evaluation before performing surgery on a patient. In the context of surgery, a medical clearance is, essentially, considered to be an authorization from an evaluating clinician that a patient is cleared, or deemed healthy enough, for a proposed surgery.
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