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PRE PROCEDURE INFORMATION SHEET Politely Your procedure is scheduled on: (Date) Please check in at the Reception desk at. Your procedure is scheduled for. PreProcedure Information: Harmony Surgery
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How to fill out pre procedure information sheet

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Point by point guide on how to fill out a pre procedure information sheet:

01
Start by reading the instructions carefully: Make sure to thoroughly go through the pre procedure information sheet provided to ensure you understand the purpose and requirements of the form.
02
Provide accurate personal details: Begin by filling out your full name, date of birth, contact information, and any other requested personal details. It is essential to provide accurate information to avoid any complications or misunderstandings.
03
Medical history: The form may ask for information regarding your medical history, including any preexisting conditions, illnesses, allergies, or medication you are currently taking. Include relevant details about your medical background to help the medical staff assess your situation effectively.
04
Previous procedures or surgeries: If you have previously undergone any medical procedures or surgeries, it is vital to disclose this information in the pre procedure information sheet. Include the type of procedure, date, and any complications or issues experienced during or after the process.
05
Current medications and supplements: List all the medications or supplements you are currently taking, including over-the-counter drugs, vitamins, or herbal remedies. Ensuring accurate information about your current medications can prevent any potential complications or drug interactions during the procedure.
06
Allergies and adverse reactions: Specify any allergies you have, such as to medication, latex, or particular substances. Additionally, note any adverse reactions you have experienced in the past to anesthesia or specific medical treatments.
07
Consent and agreement: Read any consent forms or agreements carefully before signing or giving consent. Make sure to understand the risks, benefits, and alternatives associated with the procedure and ask for clarification if needed. By signing the document, you agree to comply with the instructions provided and confirm that you have provided accurate information.

Who needs a pre procedure information sheet?

A pre procedure information sheet is typically required for individuals scheduled to undergo a medical procedure or surgery. It helps medical professionals gather essential information about the patient's health, medical history, and current medications, ensuring their safety and wellbeing during the procedure. Everyone scheduled for a medical procedure, regardless of the nature or complexity, may need to fill out a pre procedure information sheet.
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