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Please contact Brook McPherson directly at bmcpherson@fasttrackurgentcare.com or 8135337019 to schedule a fast pass to expedite the visit. PreOp Clearance Request West chase 11969 Sheldon Rd Tampa,

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How to fill out pre-op clearance request

01

Obtain the pre-op clearance request form from the healthcare facility where the surgery is scheduled to take place.

02

Fill out the patient's personal information including name, date of birth, address, and contact information.

03

Provide details about the planned surgery including the date, location, and type of procedure.

04

Include information about the patient's medical history, current medications, allergies, and any previous surgeries.

05

Have the form signed and dated by the patient or their legal guardian.

06

Submit the completed pre-op clearance request form to the healthcare facility as directed.

Who needs pre-op clearance request?

01

Patients who are scheduled to undergo surgery at a healthcare facility.

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What is pre-op clearance request?

Pre-op clearance request is a formal request submitted before a surgical procedure to ensure the patient is fit for surgery.

Who is required to file pre-op clearance request?

The patient's primary care physician or specialist is required to file the pre-op clearance request.

How to fill out pre-op clearance request?

The pre-op clearance request is typically filled out by the physician, providing medical history, current medications, and any relevant test results.

What is the purpose of pre-op clearance request?

The purpose of pre-op clearance request is to assess the patient's health status and identify any potential risks or complications prior to surgery.

What information must be reported on pre-op clearance request?

The information reported on the pre-op clearance request includes the patient's medical history, current medications, allergies, and any previous surgeries.

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