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Pediatric Surgery Passport
Parent Handbook
This convenient stepsister guide will help you and your child prepare for their surgery
at Dell Children's Medical Center of Central Texas. Before your children
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How to fill out pediatric surgery passport
How to fill out pediatric surgery passport
01
Obtain a copy of the pediatric surgery passport form from a medical institution or download it from their website.
02
Fill out your personal information accurately, including your name, date of birth, and contact details.
03
Provide the necessary medical history, such as previous surgeries, medical conditions, and medications taken.
04
Include information about any allergies or adverse reactions to medications.
05
Indicate emergency contact information for a reliable person who can be reached during surgical procedures.
06
If applying for a specific surgery, include relevant details, such as the procedure name and expected date.
07
Sign and date the form to certify the accuracy of the provided information.
08
Submit the completed pediatric surgery passport form to the designated medical institution or healthcare professional.
Who needs pediatric surgery passport?
01
Pediatric surgery passport is needed for children who require surgical procedures.
02
It is particularly important for children with complex medical conditions or those undergoing multiple surgeries.
03
Parents or legal guardians of the child can also benefit from having a pediatric surgery passport.
04
It helps in ensuring accurate and efficient healthcare management during surgical interventions.
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What is pediatric surgery passport?
Pediatric surgery passport is a document that contains important medical information about a child who is undergoing surgery, to ensure safe and effective treatment.
Who is required to file pediatric surgery passport?
Parents or legal guardians of children undergoing surgery are required to file pediatric surgery passport.
How to fill out pediatric surgery passport?
Parents or legal guardians can fill out pediatric surgery passport by providing detailed medical history, current medications, allergies, and other relevant information about the child's health.
What is the purpose of pediatric surgery passport?
The purpose of pediatric surgery passport is to help medical professionals deliver better and safer care by having access to crucial medical information of the child before, during, and after surgery.
What information must be reported on pediatric surgery passport?
Information such as medical history, current medications, allergies, previous surgeries, and emergency contact details must be reported on pediatric surgery passport.
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