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CROWS NEST DAY SURGERY BOOKING FORM Level 1, 22 Clarke Street Crows Nest NSW 2065 Phone: (02) 9955 5677 Fax: (02) 9966 4869 info crowsnestdaysurgery.com.AU To be completed by the ADMITTING SURGEON
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How to fill out Crow's Nest Day Surgery:

01
Before filling out any paperwork, ensure that you have all the necessary documents handy, such as your identification, insurance information, and any relevant medical records.
02
Start by carefully reading through the forms provided by the Crow's Nest Day Surgery facility. These forms may include a patient information form, consent forms, medical history questionnaire, and other necessary documents.
03
Fill in your personal information accurately and completely. This includes your full name, date of birth, address, and contact details.
04
Provide details about your insurance coverage, including the name of your insurance provider, policy number, and any applicable referral or authorization numbers.
05
Complete the medical history questionnaire thoroughly. This section will inquire about your previous surgeries, current medications, allergies, and any existing health conditions.
06
If there are any specific questions or concerns related to the surgery or your health, make sure to address them in the appropriate sections or notify the staff during the form submission.
07
Review all the filled-out forms carefully to ensure accuracy and completeness. If you're uncertain about any question or section, seek clarification from the medical staff or consult with your healthcare provider.
08
Once you have completed all the necessary forms, sign and date them as required. If there are any additional forms provided by the facility, ensure to fill those out as well.
09
Keep a copy of all the completed forms for your records and submit the originals to the Crow's Nest Day Surgery facility as instructed.

Who needs Crow's Nest Day Surgery:

01
Individuals who require minor surgical procedures that can be performed on an outpatient basis.
02
Patients who have been advised by their healthcare provider to undergo a specific procedure that can be safely performed at the Crow's Nest Day Surgery facility.
03
People who prefer the convenience and affordability of outpatient surgery rather than being admitted to a hospital for the procedure.
04
Patients seeking a specialized surgical facility that focuses on delivering efficient and high-quality care in a comfortable environment.
05
Those with medical conditions or circumstances that make them suitable candidates for day surgery, as determined by their healthcare provider.
06
Individuals who need surgical treatments for conditions such as cataracts, skin lesions, hernias, dental procedures, or diagnostic procedures like endoscopies.
07
Patients who have been referred to the Crow's Nest Day Surgery facility by their primary care physician, specialist, or hospital for further examination, treatment, or surgery.
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Crows Nest Day Surgery is a medical facility where minor surgical procedures are performed and patients can go home on the same day of the surgery.
Crows Nest Day Surgery must be filed by the healthcare professionals and staff involved in the surgery process.
Crows Nest Day Surgery can be filled out by providing all the required information about the surgery procedure, patient details, and any post-operative care instructions.
The purpose of Crows Nest Day Surgery is to provide a convenient and efficient way for patients to undergo minor surgical procedures without the need for overnight hospital stays.
The information to be reported on Crows Nest Day Surgery includes details about the surgery procedure, patient's medical history, anesthesia used, and any complications during the surgery.
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