Get Dr. Joseph Walrath Preoperative Risk Assessment / Clearance Form 2021-2025

Completing the Dr. Joseph Walrath Preoperative Risk Assessment / Clearance Form online is a crucial step in ensuring that you are well-prepared for your upcoming surgery. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the patient's name clearly in the designated field. This is essential for identifying the individual undergoing the procedure.
3. Fill in the patient's date of birth to confirm their identity and age for medical consideration.
4. List all medications the patient is currently taking, including dosages, in the medication section to ensure comprehensive understanding of their medical background.
5. Indicate any known drug allergies, including a specific check for latex allergy by selecting either 'Yes' or 'No'.
6. Provide the physician's name who is completing the form to identify the medical professional responsible for the assessment.
7. Record the patient’s vital signs, including blood pressure, heart rate, temperature, respiratory rate, and oxygen saturation in the specified areas.
8. Review the normal findings section and confirm by marking the appropriate boxes regarding physical evaluations.
9. In the history section, ensure that any relevant surgical and medical history is documented accurately.
10. Fill out the tobacco and alcohol use section to provide additional context about the patient's lifestyle.
11. Indicate if the patient has been cleared for surgery by marking the appropriate box.
12. Complete the family history section by selecting 'Yes' or 'No' to indicate if there are any familial medical concerns.
13. Add any comments that may be pertinent for the assessment or the surgeon’s attention.
14. Finally, ensure the physician's signature and date are included to authenticate the form before submission.
15. Once all sections are filled, save your changes, and you may choose to download, print, or share the completed form as necessary.

Take the next step in your healthcare journey—complete your document online today!