Get the free PRE-SURGERY QUESTIONNAIRE - Brigham and Women 's Hospital - bwh partners
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Fax to 5087184056 Names: MR#: PRESURGERY QUESTIONNAIRE This information will help us prepare for your anesthesia and surgery. Please fill out as completely as you can. Date of surgery: / / Age: Height:
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How to fill out pre-surgery questionnaire - brigham
How to fill out the pre-surgery questionnaire - Brigham:
01
Start by carefully reviewing the instructions provided on the questionnaire. Make sure you understand the purpose of each section and what information is required.
02
Gather all the necessary information before you begin filling out the questionnaire. This may include personal details such as your name, address, date of birth, and contact information.
03
Provide a detailed medical history. Include any past surgeries, chronic conditions, allergies, and medications you are currently taking. Be as thorough and accurate as possible to ensure the medical team has a complete understanding of your health status.
04
Disclose any known allergies or adverse reactions to medications, anesthesia, or any other substances. This is crucial information for the surgery team to be aware of.
05
Answer all the questions truthfully and to the best of your knowledge. If you are unsure about any question, it is better to leave it blank or indicate your uncertainty rather than guessing or providing inaccurate information.
06
Pay close attention to any specific instructions or additional documentation required. The questionnaire may ask for additional medical records or test results, so be prepared to provide them if necessary.
07
Review your completed questionnaire before submitting it. Make sure you haven't missed any sections or left any information blank that should have been filled out.
08
Finally, submit the completed questionnaire to the appropriate department or healthcare provider within the specified timeframe.
Who needs the pre-surgery questionnaire - Brigham?
The pre-surgery questionnaire - Brigham is typically required for individuals who are scheduled to undergo surgery at Brigham and Women's Hospital or any medical facility affiliated with Brigham Health. This questionnaire helps the healthcare team gather important information about the patient's medical history, current health status, and any potential risk factors that need to be addressed before the surgery. It is an essential part of the pre-operative assessment process to ensure the patient's safety and optimize the surgical outcome.
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What is pre-surgery questionnaire - brigham?
It is a set of questions and information that patients are required to provide before undergoing surgery at Brigham hospital.
Who is required to file pre-surgery questionnaire - brigham?
All patients scheduled for surgery at Brigham hospital are required to fill out the pre-surgery questionnaire.
How to fill out pre-surgery questionnaire - brigham?
Patients can fill out the pre-surgery questionnaire either online through the hospital portal or in person at the hospital.
What is the purpose of pre-surgery questionnaire - brigham?
The purpose is to gather important medical history, current medications, and other relevant information from the patient to ensure a successful surgery outcome.
What information must be reported on pre-surgery questionnaire - brigham?
Patients must report their medical history, current medications, allergies, and any other pertinent health information.
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