Get Surgical Booking Form

Completing the Surgical Booking Form online can streamline your surgical scheduling process. This guide provides step-by-step instructions to help you effectively fill out each section of the form accurately and efficiently.

Follow the steps to complete the form successfully

1. Press the ‘Get Form’ button to retrieve the form and open it in your editing tool.
2. Begin filling out the patient surname and legal first name in the designated fields provided.
3. Enter the patient's other names, if applicable, and provide the date of birth in the format of day/month/year.
4. Input the patient's age and indicate sex by selecting 'M' for male or 'F' for female.
5. Fill in the patient's complete address, including city, province, and postal code.
6. Provide contact information, including residence phone, cell phone, and business phone, along with an extension if necessary.
7. List the family physician and any referring physician if not the family physician.
8. Identify the surgeon or physician, as well as any assistants that may be involved.
9. Indicate whether the patient has a care card and provide the number if applicable.
10. Complete the billing information section by specifying whether the surgery will be covered by MSP or private insurance, along with any other relevant details.
11. Fill in the dates for referral, first consultation, and admission as specified.
12. Select the priority level for the procedure based on the urgency of the surgery.
13. List the procedures being scheduled, ensuring the primary procedure is noted first.
14. Document any diagnoses and alert any potential needs that have been identified.
15. Make note of any special equipment or implants that may be required during the procedure.
16. Proceed to fill in any patient alerts and medical history that may affect the procedure.
17. Complete additional sections regarding unavailable periods and surgical orders where applicable.
18. Review the completed form for accuracy, then save, download, print, or share it based on your preferences.

Ensure your surgical procedure is scheduled by completing the Surgical Booking Form online today.