Get the free Pre-Surgical Clearance Request - TGH Urgent Care
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Please contact Brook McPherson directly at bmcpherson@fasttrackurgentcare.com or 8135337019 to schedule a fast pass to expedite the visit. PreSurgical Clearance Request West chase 11969 Sheldon Rd
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How to fill out pre-surgical clearance request
How to fill out pre-surgical clearance request
01
Obtain the pre-surgical clearance request form from the healthcare facility or surgeon's office.
02
Fill out the patient's personal information including name, date of birth, address, and contact information.
03
Provide details of the surgical procedure including the name of the surgeon, date of surgery, and type of surgery being performed.
04
Include the patient's medical history, current medications, allergies, and any previous surgeries or medical conditions.
05
Have the patient's primary care physician or specialist fill out the necessary medical clearance information and sign the form.
06
Submit the completed form to the surgeon's office or healthcare facility as instructed.
Who needs pre-surgical clearance request?
01
Patients who are scheduled to undergo a surgical procedure.
02
Surgeons and healthcare facilities who require medical clearance before performing surgery.
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What is pre-surgical clearance request?
The pre-surgical clearance request is a form that needs to be completed by a patient's primary care physician before they undergo a surgical procedure.
Who is required to file pre-surgical clearance request?
The patient's primary care physician is required to file the pre-surgical clearance request.
How to fill out pre-surgical clearance request?
The pre-surgical clearance request form can be filled out by the patient's primary care physician and it includes information such as the patient's medical history, current medications, and any pre-existing conditions.
What is the purpose of pre-surgical clearance request?
The purpose of the pre-surgical clearance request is to ensure that the patient is healthy enough to undergo the surgical procedure and that any potential risks are identified and managed.
What information must be reported on pre-surgical clearance request?
The pre-surgical clearance request must include the patient's medical history, current medications, allergies, and any pre-existing conditions.
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