Get the free Dr. Kelly's Pre-Surgical Intake Form - Hospital for Special Surgery - hss

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How to fill out dr kelly39s pre-surgical intake

To fill out Dr. Kelly's pre-surgical intake, follow these steps:

1. Start by obtaining the pre-surgical intake form from Dr. Kelly's office. You can usually get this form either in person or via email.
2. Read through the entire form carefully to understand what information is being asked for. This will help ensure that you provide accurate and complete responses.
3. Begin by providing your personal information. This typically includes your full name, date of birth, contact information (phone number, email address), and current address.
4. Next, fill in your medical history. This includes any previous surgeries, chronic illnesses or conditions, allergies, medications you are currently taking, and any relevant family medical history.
5. If applicable, provide details about your insurance coverage. This may include the name of your insurance provider, your policy number, and any additional information required.
6. Moving on, answer questions related to the specific surgery Dr. Kelly will be performing. This may involve your reason for the surgery, any symptoms you are experiencing, and any previous treatments or therapies you have undergone.
7. In some cases, Dr. Kelly's pre-surgical intake form may ask about lifestyle factors that can impact the surgical procedure or recovery. These questions may cover topics such as smoking habits, alcohol consumption, exercise routines, and any plans for post-surgery care or support.
8. Ensure that you fill out the form completely and accurately. Double-check for any missing information or errors before submitting it back to Dr. Kelly's office.

Who needs Dr. Kelly's pre-surgical intake?

Dr. Kelly's pre-surgical intake form is typically required for individuals who are scheduled to undergo surgery with Dr. Kelly. This form helps Dr. Kelly and his team gather important medical information about the patient to ensure that they are well-prepared for the procedure. It allows Dr. Kelly to assess the patient's health status, identify any potential risks or complications, and tailor the surgical plan accordingly. By completing the pre-surgical intake, patients contribute to the overall safety and success of their surgical experience with Dr. Kelly.

For pdfFiller’s FAQs

What is dr kelly39s pre-surgical intake?

Dr. Kelly's pre-surgical intake is a form filled out by patients prior to surgery to provide medical history and necessary information.

Who is required to file dr kelly39s pre-surgical intake?

Patients scheduled for surgery are required to fill out Dr. Kelly's pre-surgical intake form.

How to fill out dr kelly39s pre-surgical intake?

The pre-surgical intake form can be filled out online or in-person at Dr. Kelly's office.

What is the purpose of dr kelly39s pre-surgical intake?

The purpose of the pre-surgical intake form is to gather important medical information and ensure the safety of the patient during surgery.

What information must be reported on dr kelly39s pre-surgical intake?

The pre-surgical intake form typically includes personal information, medical history, current medications, allergies, and any previous surgeries.

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