



  1. History and Physical Examination form to be completed by the physician within 30 days of surgery. If the History and Physical is completed more than twenty-four hours prior to surgery, it will need to be updated on the day of surgery, per medical center policy.
  2. Consent for Anesthesia will need to be signed and dated by the patient and witnessed by the physician.
  3. Health Assessment Questionnaire to be completed on both sides by the patient (with assistance as needed). It must document all current medications and doses.
  4. Pre-Registration needed and available online through One Medical Passport. Registration is easy and takes about 20-25 minutes to complete. Medical Passports are secure, online patient-controlled accounts that provide medical history information. Please have your insurance information handy before you proceed to the site to pre-register online.