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Pain Management Associates G. David Borax, M.D. Stephen J. Hatch, M.D. FAX REFERRAL FORM Fax Completed Form To: (260) 4907254 Office Phone: (260) 4902525 Date: Patient Name: Date of Birth: Address:
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01
Step 1: Gather all necessary medical documents and information related to the surgery.
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Step 2: Consult with a qualified surgeon or medical professional to determine the need for surgery and discuss potential risks and benefits.
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Step 3: Follow any pre-operative instructions provided by the surgeon, such as fasting or stopping certain medications.
04
Step 4: Arrange for any necessary pre-surgical tests or evaluations, such as blood work or imaging.
05
Step 5: Complete any required paperwork or consent forms for the surgery.
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Step 6: Follow any post-operative instructions provided by the surgeon, such as taking prescribed medications or attending follow-up appointments.
07
Step 7: Rest and recover as recommended by the surgeon, and follow any restrictions or limitations on physical activity.
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Step 8: Attend scheduled post-surgical appointments to monitor healing and address any concerns or complications.

Who needs surgery - a medical?

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Individuals who have a medical condition or injury that cannot be effectively treated with non-surgical methods may need surgery.
02
Examples include individuals with appendicitis, gallbladder disease, broken bones requiring surgical setting, certain types of cancer, heart conditions requiring bypass surgery, and many others.
03
The decision for surgery is typically made by a qualified medical professional after evaluating the patient's specific condition and considering various factors such as the severity of the condition, potential risks and benefits of surgery, and the individual's overall health.
04
It is important to consult with a medical professional for a proper diagnosis and recommendation regarding the need for surgery.

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Surgery is a branch of medicine that involves the treatment of injuries or disorders through operative procedures, typically involving cutting into the body to treat or remove disease or repair damaged structures.
Medical professionals, including surgeons and healthcare providers, are required to document and file surgery records as part of patient care and medical billing processes.
To fill out a medical surgery document, medical professionals should include details such as patient information, type of surgery performed, date and time of surgery, surgical procedure code, and any relevant post-operative care instructions.
The purpose of surgery is to diagnose, cure, or alleviate symptoms of a medical condition, provide relief from pain, restore function, or improve quality of life for patients.
Information that must be reported includes patient identification, diagnosis, procedure performed, anesthesia used, any complications, and follow-up care instructions.
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