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UMC Health System
Patient Label Here
ORT HO CONSULT PROP
Diagnosis ___
Weight ___
PHYSICIAN ORDERS
Allergies ___
Place an \” X\” in the Orders' column to designate orders of choice AND an
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How to fill out ortho consult pre-op

How to fill out ortho consult pre-op:
01
Start by gathering all relevant medical information about the patient, such as medical history, previous surgeries, and any current medications they are taking.
02
Fill out the patient's personal information, including their name, date of birth, and contact details.
03
Document the reason for the ortho consult pre-op, whether it is for a specific injury, pain, or joint problem.
04
Specify the desired outcome or goal of the consultation, such as diagnosis, treatment options, or surgical considerations.
05
Include any relevant imaging or test results that have been conducted, such as X-rays, MRIs, or lab reports.
06
Provide a detailed description of the patient's symptoms, including the location, duration, and intensity of any pain or discomfort.
07
Outline any previous treatment or interventions that have been tried and their effectiveness.
08
Note any other medical conditions the patient may have that could impact the orthopedic consultation or treatment plan.
09
Include information about the patient's insurance coverage, including their insurance provider and policy number.
10
Sign the form and provide contact information for the referring healthcare professional or primary care physician, if applicable.
Who needs ortho consult pre-op?
01
Patients who are scheduled to undergo orthopedic surgery or procedures that require specialized evaluation and consultation.
02
Individuals experiencing chronic or acute pain, stiffness, or limited mobility in their joints or musculoskeletal system.
03
Patients with a history of previous orthopedic surgeries or injuries that may require further assessment or follow-up care.
04
People with degenerative joint diseases, such as osteoarthritis or rheumatoid arthritis, who may require orthopedic interventions.
05
Athletes or individuals involved in sports who have sustained an injury or have ongoing musculoskeletal issues.
06
Individuals who have been involved in accidents or trauma that may have resulted in orthopedic injuries requiring evaluation and treatment.
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What is ortho consult pre-op?
Ortho consult pre-op is a consultation with an orthopedic specialist before a surgical procedure.
Who is required to file ortho consult pre-op?
Patients scheduled for orthopedic surgery are required to file ortho consult pre-op.
How to fill out ortho consult pre-op?
Ortho consult pre-op can be filled out by the orthopedic specialist conducting the consultation.
What is the purpose of ortho consult pre-op?
The purpose of ortho consult pre-op is to assess the patient's condition before surgery and ensure they are physically prepared for the procedure.
What information must be reported on ortho consult pre-op?
Ortho consult pre-op must include the patient's medical history, current medications, any allergies, and the results of any relevant tests.
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