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SURGERY ROUTING SHEET Clayton A. Paper, MD Department of Orthopedic Surgery Henry Ford Hospital 2799 West Grand Boulevard Detroit, MI 48202 Office: 313 9162013 Fax: 3139162478 AFFIX PATIENT LABEL
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How to fill out surgery routing form

01
The first step in filling out a surgery routing form is to gather all the necessary information. This includes your personal details such as your name, address, contact information, and insurance information. You may also need to provide information about your medical history, any previous surgeries or medical conditions, and any medications you are currently taking.
02
Next, carefully read through the form and follow the instructions provided. Pay close attention to any sections that require you to provide specific information or check boxes. Make sure to provide accurate and up-to-date information to ensure proper documentation.
03
If there are any sections that you are unsure about or require clarification, don't hesitate to ask for assistance from a healthcare professional or the staff responsible for handing out the form. It's important to understand the purpose behind each section and provide the necessary information to the best of your knowledge.
04
Before submitting the form, double-check all the information you have provided. Ensure that everything is accurate, legible, and complete. This will help avoid any delays or confusion during the surgical process.
05
Finally, it is important to note that the surgery routing form is typically required by the healthcare facility or surgeon performing the procedure. It helps them gather essential information about the patient, evaluate the risks, and plan the surgery accordingly. The form ensures that all necessary preparations and precautions are taken to ensure a safe and successful surgery.
Who needs a surgery routing form?
01
Patients scheduled to undergo a surgical procedure generally need to fill out a surgery routing form. This form helps the healthcare provider gather crucial information about the patient before the surgery takes place.
02
Surgeons and healthcare facilities require this form to ensure they have all the necessary information to provide appropriate care during the surgery. It helps them understand the patient's medical history, previous surgeries or conditions, and any medications that may impact the procedure.
03
Additionally, the surgery routing form allows the healthcare team to assess any potential risks or complications that may arise during or after the surgery. This information helps them plan accordingly and take necessary precautions to ensure the patient's safety.
Overall, the surgery routing form is an essential part of the pre-operative process, providing crucial information to the healthcare team and ensuring a smooth and successful surgical experience.
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