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REFRACTIVE SURGERY INITIAL EVALUATION Name: Date: DOB: AGE: y/o Co-Mngmt Dr. Occupation MEDICAL HISTORY: Diabetes Immunodeficiency Collagen Vascular Pregnancy Cosmetic Surgery Keloid Other: Y Y Y
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How to fill out refractive surg pre op:

01
Start by gathering all necessary documents and forms required for the preoperative process.
02
Carefully read through each form and ensure that you understand the information being requested.
03
Begin filling out the forms by providing your personal details such as your full name, date of birth, and contact information.
04
Follow the instructions provided on the forms and accurately answer any medical history-related questions.
05
Be thorough in providing any relevant information regarding previous eye surgeries, medications being taken, allergies, and any existing eye conditions.
06
If there are any specific instructions regarding medication use prior to surgery, make sure to adhere to them and include details on the form.
07
Some forms may require you to provide insurance information, so have your insurance card ready and provide the necessary details.
08
Remember to sign and date all the forms once you have completed filling them out.

Who needs refractive surg pre op:

01
Individuals who are considering undergoing refractive surgery, such as LASIK or PRK, may require a preoperative assessment.
02
People with refractive errors, including nearsightedness, farsightedness, or astigmatism, who are looking to correct their vision through surgical means, may need to undergo a refractive surgery preoperative evaluation.
03
Those who are deemed eligible for refractive surgery after a comprehensive eye exam may be scheduled for a refractive surgery preoperative appointment.
Please note that the specific requirements for a refractive surgery preoperative assessment may vary depending on the surgeon's guidelines and the type of refractive surgery being considered. It is best to consult with an ophthalmologist or refractive surgeon to determine if you need to undergo a refractive surgery preoperative evaluation.
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Refractive surg pre op stands for refractive surgery pre-operation. It refers to the evaluation and preparation that is done before undergoing refractive surgery.
Patients who are considering undergoing refractive surgery are required to go through the pre-operation evaluation and preparation.
To fill out refractive surgery pre-operation forms, patients need to provide detailed information about their medical history, current medications, previous eye surgeries, and expectations from the surgery.
The purpose of refractive surgery pre-operation is to assess the patient's suitability for the surgery, manage expectations, and minimize risks and complications during and after the surgery.
Information such as medical history, current medications, previous eye surgeries, allergies, and expectations from the surgery must be reported on refractive surgery pre-operation forms.
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