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HORIZON LASER VISION CENTER Regina: Fax# 3063525202 Phone 3063525277 Saskatoon: Fax# 3066643927 Phone 3066643937 REFRACTIVE SURGERY PREOPERATIVE ASSESSMENT FORM Name: Address: DOB: Telephone #: Email:
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How to fill out hlvc pre-op form one
How to fill out HLVC pre-op form one:
01
Start by carefully reading the instructions at the top of the form. Make sure you understand the purpose of the form and what information is required.
02
Begin by providing your personal information in the designated section. This may include your name, date of birth, address, and contact details. Double-check for accuracy to avoid any errors.
03
Next, proceed to the medical history section. Answer the questions truthfully and to the best of your knowledge. This information helps the medical team assess any potential risks or complications during the upcoming procedure.
04
If applicable, indicate any allergies or sensitivities you have in the appropriate section. Be sure to include both medication and non-medication-related allergies.
05
The next section may include questions about your current medications. List any prescription drugs, over-the-counter medications, or herbal supplements you are taking. Include the dosage and frequency as directed.
06
You might be asked about previous surgeries or medical procedures you have undergone. Provide a detailed account, mentioning the type of procedure, date, and the name of the healthcare facility or surgeon involved.
07
If you have any pre-existing medical conditions, such as diabetes, heart disease, or asthma, disclose this information. It is essential for the medical team to be aware of any underlying health concerns.
08
Complete any additional sections of the form that pertain to your specific situation. This may include questions about tobacco or alcohol use, pregnancy status (if applicable), or any other relevant information.
Who needs HLVC pre-op form one:
01
Individuals who are scheduled for a surgery or medical procedure at the HLVC (Healthcare and Life Sciences Center) facility typically need to fill out the HLVC pre-op form one.
02
Patients of all ages and genders may require this form, as it serves as a comprehensive medical history and consent document.
03
Whether the procedure is minor or major, it is standard practice for patients to complete this form to ensure their safety and provide necessary information to the medical team.
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What is hlvc pre-op form one?
hlvc pre-op form one is a document that needs to be filled out before a surgery at HLVC.
Who is required to file hlvc pre-op form one?
All patients scheduled for surgery at HLVC are required to file hlvc pre-op form one.
How to fill out hlvc pre-op form one?
hlvc pre-op form one can be filled out online through the HLVC portal or in person at the hospital.
What is the purpose of hlvc pre-op form one?
The purpose of hlvc pre-op form one is to gather important medical information about the patient before surgery.
What information must be reported on hlvc pre-op form one?
Information such as medical history, allergies, current medications, and emergency contacts must be reported on hlvc pre-op form one.
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