Get Tx Hunt Regional Healthcare Surgery Scheduling Form 2017-2025

Completing the TX Hunt Regional Healthcare Surgery Scheduling Form is essential for ensuring that surgery is scheduled efficiently and effectively. This guide will provide you with step-by-step instructions on how to fill out the form online, ensuring that all required information is accurately captured.

Follow the steps to complete the surgery scheduling form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient's name in the designated field, followed by the date and time of surgery. Ensure that the details are accurate and clearly stated.
3. Fill in the surgeon's name along with the applicable CPT codes pertaining to the procedure that is to be performed.
4. Next, describe the procedure in detail to provide clarity about what will take place during surgery.
5. Input the pre-operative diagnosis along with the associated ICD-10 codes to summarize the patient's health status.
6. Indicate whether a frozen section request is needed by selecting 'Yes' or 'No' and do the same for any grafts/tissue requests.
7. Specify the expected procedure length and provide any grafts/tissue specifications if applicable.
8. List any special needs or requests that should be considered during the procedure.
9. Complete the necessary fields for instrumentation to be delivered along with the vendor name.
10. Fill out the patient's status and any required lab tests. Indicate the necessary tests by checking the relevant options.
11. Document any allergies, cardiac or medical clearance, and include the practitioner's pre-operative appointment details.
12. Gather patient demographic information, including gender, date of birth, age, and social security number. Make sure to verify the accuracy of this information.
13. Enter contact numbers and insurance details including the insurance name, contact number, precert/authorization number, and any relevant policy information.
14. Finally, ensure that the practitioner’s signature and the date are included at the end of the form.
15. Once all information is accurately filled out, save changes, download, print, or share the form as needed.

Complete your TX Hunt Regional Healthcare Surgery Scheduling Form online today to ensure a seamless scheduling experience.