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Name: Fillable Online Northumbria Hip Preservation Unit Patient Reported Outcomes Fax Email Print - pdfFiller
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This form is for patients undergoing non-arthroplasty hip surgery and includes patient-reported outcomes and consent for participating in the Non Arthroplasty Hip Surgery Register (NAHR). It details

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How to fill out pre-op form

01

Start by reading the entire pre-op form carefully.

02

Fill in your personal information, including your full name, date of birth, and contact details.

03

Provide your insurance information if applicable.

04

List all medications you are currently taking, including dosage and frequency.

05

Indicate any allergies, especially to medications, anesthesia, or other substances.

06

Answer questions about your medical history, including past surgeries and existing health conditions.

07

Fill out lifestyle information, such as smoking status and alcohol consumption.

08

Review the form for completeness and accuracy before submission.

09

Sign and date the form as required.

Who needs pre-op form?

01

Patients who are scheduled for surgery or any invasive procedure typically need to fill out a pre-op form.

02

Healthcare providers require the form to assess risk factors and ensure patient safety.

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What is pre-op form?

A pre-op form is a document that patients complete prior to undergoing surgery, providing essential medical and personal information.

Who is required to file pre-op form?

Patients scheduled for surgical procedures are required to file a pre-op form.

How to fill out pre-op form?

To fill out a pre-op form, gather all relevant medical history, medications, allergies, and personal information, and complete the form as instructed, ensuring accuracy.

What is the purpose of pre-op form?

The purpose of a pre-op form is to provide healthcare professionals with crucial information to ensure the patient's safety and readiness for surgery.

What information must be reported on pre-op form?

The pre-op form typically requires information such as personal identification, medical history, current medications, allergies, and any previous surgeries.

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