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INSTRUCTIONS FOR OUTPATIENT SURGERY CAROLINA MEDICAL CENTURION Patients Name: Physician: Scott L. Jaden, M.D. Procedure: Cataract extraction with intraocular lens implant RIGHT / LEFT eye Date of
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How to fill out instructions for outpatient surgery

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Instructions for filling out outpatient surgery instructions:

01
Start by writing your personal information, including your name, date of birth, and contact information. This will help the medical staff identify you and reach out to you if needed.
02
Next, provide your medical history, including any previous surgeries, allergies, and current medications. This information is crucial for the medical team to ensure your safety during the procedure.
03
Provide details about your insurance coverage, such as your insurance provider and policy number. This will help the hospital billing department process your claims correctly.
04
Indicate the specific surgery you will be undergoing and any specific instructions provided by your surgeon. This may include fasting guidelines, medication adjustments, or dress code requirements.
05
Include emergency contact information, such as the name and phone number of someone who can be reached in case of any complications or unexpected events during or after the surgery.
06
Make sure to carefully read and understand all the instructions provided by the hospital or surgical center. Follow any pre-surgery preparation guidelines, such as fasting periods or medication restrictions.
07
If you have any questions or concerns, do not hesitate to contact your surgeon, the outpatient surgery center, or your primary care physician. It is important to clarify any doubts before the surgery to ensure a smooth and successful procedure.
08
Review the completed instructions before submitting them, making sure all the required information has been provided accurately. Double-check your contact information and emergency contact details to avoid any potential problems.

Who needs instructions for outpatient surgery?

01
Patients who are scheduled to undergo an outpatient surgery procedure.
02
Individuals who want to ensure they are well-prepared and informed about the upcoming surgery.
03
Family members or caregivers responsible for assisting and supporting the patient before, during, and after the outpatient surgery.
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Instructions for outpatient surgery are specific guidelines and protocols that need to be followed before, during, and after a surgical procedure that is conducted on an outpatient basis.
Healthcare providers and facilities performing outpatient surgeries are required to file instructions for outpatient surgery.
Instructions for outpatient surgery can be filled out by providing detailed information on pre-operative procedures, anesthesia protocols, surgical techniques, post-operative care, and follow-up instructions.
The purpose of instructions for outpatient surgery is to ensure the safety and well-being of patients undergoing outpatient procedures by providing clear and comprehensive guidelines for healthcare providers to follow.
Instructions for outpatient surgery must include details on the patient's medical history, pre-operative assessments, surgical plan, anesthesia management, post-operative care instructions, and follow-up recommendations.
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