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IP All offices phone: (260× 4324400 Surgery Scheduling ext: 6304 www.heradvantage.com Your surgery is scheduled for: Date: / / Day of week at Adams Memorial Hospital Dupont Hospital Ambulatory Surgery
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How to fill out your surgery is scheduled

How to fill out your surgery is scheduled:
01
Start by gathering the necessary information: You will need the date and time of your surgery, the name of your surgeon, and any special instructions or precautions you need to follow before the procedure.
02
Contact the hospital or medical facility: Call the hospital or medical facility where your surgery is scheduled. They will provide you with the necessary forms to fill out. Ask if you can fill out the forms online or if you need to visit the facility in person to complete the paperwork.
03
Provide your personal information: The forms will typically ask for your full name, date of birth, address, phone number, and emergency contact information. Make sure to provide accurate information so that the medical staff can easily reach you if needed.
04
Medical history and allergies: You will likely be asked to provide details about your medical history, including any previous surgeries, chronic conditions, or medications you are currently taking. It is important to mention any allergies you have, especially to medications or anesthesia.
05
Insurance and payment information: If you have health insurance, you will be asked to provide your insurance details. This may include your policy number, insurance company name, and contact information. If you are self-paying, you may need to provide payment information or discuss payment options with the hospital.
06
Follow any additional instructions: The forms may have additional sections for you to complete, such as pre-operative instructions or special requests. Read these sections carefully and provide the necessary information or follow the instructions as advised.
Who needs your surgery is scheduled:
01
Patients: The most important person who needs their surgery scheduled is the patient themselves. They are the ones who will be undergoing the surgical procedure and need to ensure that the necessary arrangements are made.
02
Surgeon and medical staff: The surgeon and the medical staff involved in the surgery also need to know the schedule. This includes the surgeon who will be performing the procedure, as well as nurses, anesthesiologists, and other healthcare professionals who will be assisting during the surgery.
03
Hospital or medical facility: The hospital or medical facility where the surgery is scheduled needs to have the surgery details in order to allocate the necessary resources and ensure the operation is scheduled at a convenient time for both the patient and the medical staff.
Overall, it is important for both the patient and the medical professionals involved to have a clear understanding of when the surgery is scheduled to ensure a smooth and successful procedure.
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What is your surgery is scheduled?
My surgery is scheduled for next Monday at 9:00 AM.
Who is required to file your surgery is scheduled?
The hospital staff and the surgeon are required to file my surgery schedule.
How to fill out your surgery is scheduled?
To fill out my surgery schedule, the hospital staff will enter the date, time, and procedure information into the system.
What is the purpose of your surgery is scheduled?
The purpose of my surgery is to remove a benign tumor from my abdomen.
What information must be reported on your surgery is scheduled?
The information that must be reported includes the date, time, location, and procedure for the surgery.
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