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UCLA Ambulatory Surgery Center in WestwoodPreoperative instructions for adult patients undergoing Planned NeurosurgeryPatient: Surgeon: Care Coordinator: Surgery date: Procedure: CONTACT INFORMATION
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01
Begin by gathering all necessary personal information about the adult patient, such as their full name, date of birth, contact information, and any relevant medical history.
02
Next, ensure that you have the appropriate forms or paperwork needed for the specific purpose of the patient visit, such as consent forms or medical history questionnaires.
03
Provide the adult patient with the required forms and explain the importance of accurately filling them out.
04
Guide the patient through each section of the forms, answering any questions they may have and assisting with any language or comprehension barriers.
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Instruct the patient to provide complete and accurate information, including any medications they are currently taking, previous medical conditions, allergies, or surgeries.
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Emphasize the importance of disclosing any relevant information regarding their health, as any omissions or inaccuracies can have implications for their treatment.
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Encourage the patient to take their time and read through each question carefully before providing their response.
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Remind the patient to sign and date the completed forms, if necessary, and ensure that all required fields are properly filled out.
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Collect the completed forms from the patient and review them for completeness and accuracy.
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Thank the patient for their cooperation and inform them of any further steps or actions that may be required based on the information provided in the forms.

Who needs for adult patients undergoing?

01
Adult patients undergoing various medical procedures or treatments may need to fill out forms.
02
These forms typically include consent forms, medical history questionnaires, insurance information, or pre-procedure assessments.
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The specific requirements for form filling may vary based on the nature of the medical procedure or treatment being undertaken.
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It is essential for adult patients to fill out these forms accurately and completely to ensure proper and safe healthcare delivery.
05
By providing thorough information, patients can help healthcare professionals make informed decisions and provide appropriate care.
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Details of the medical procedure, patient's medical history, and current condition.
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