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The Austin Diagnostic Clinic Department of PodiatryPREOPERATIVE INSTRUCTIONS AMBULATORY SURGERY PATIENTSLocation of Surgery: Date of Surgery: Contact Name & Phone Number: 5129014947 (Circle One) 5129014954
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01
Step 1: Obtain the preoperative instructions form from the hospital or surgical center.
02
Step 2: Read the form carefully to understand all the instructions and requirements.
03
Step 3: Provide your personal information, such as name, date of birth, and contact details, in the designated fields.
04
Step 4: Follow the instructions regarding fasting, which usually include avoiding food and drinks for a specific period before the surgery.
05
Step 5: Complete information about your medical history, including any pre-existing conditions, allergies, or medications you are currently taking.
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Step 6: Provide details about any previous surgeries or anesthesia-related complications.
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Step 7: Follow any specific preoperative preparation instructions, such as showering with a special soap or refraining from using certain cosmetics.
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Step 8: Sign and date the form to confirm that you have read and understood all the instructions and have provided accurate information.
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Step 9: Return the completed form to the hospital or surgical center within the specified time frame.

Who needs preoperative instructions - form?

01
Preoperative instructions forms are typically required for individuals who are scheduled to undergo surgical procedures.
02
These instructions help ensure that patients are adequately prepared for surgery and minimize the risk of complications.
03
Both inpatient and outpatient surgeries may require preoperative instructions to be followed.
04
The specific requirements may vary depending on the type of surgery and individual patient factors.
05
It is important to consult with your healthcare provider or surgical team to determine if you need to fill out preoperative instructions.
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Preoperative instructions form is a document that outlines the necessary information and guidelines for a patient to follow before a surgical procedure.
The healthcare provider or surgical facility conducting the procedure is responsible for providing and filing the preoperative instructions form.
The preoperative instructions form can be filled out by the healthcare provider or surgical facility, and should include detailed information about the patient's medical history, current medications, and specific pre-surgery guidelines.
The purpose of the preoperative instructions form is to ensure that the patient is properly prepared for the surgical procedure and to minimize any potential risks or complications.
The preoperative instructions form must include the patient's medical history, current medications, allergies, previous surgeries, and specific pre-surgery guidelines such as fasting instructions.
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