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Surgical clearance form pdf

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The document is an EPS Surgical Medical Clearance Form that requires patients to obtain medical clearance from their primary care physician before surgery. It instructs patients to print the form and take it to their physician, or direct them to the website for completion. The completed form must be faxed to the surgical office, and contact information is provided for any questions.

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What do you need for a medical clearance?

The medical clearance is based upon the employee participating in a complete head-to-toe physical examination, a complete blood panel, a health history questionnaire, an EKG, vision test, pulmonary function test, hearing test, and a stress test for those over the age of 40 or at the discretion of the provider.

What is required for medical clearance?

A medical clearance usually consists of a doctor visit where your medical history is reviewed, a physical exam, and any needed testing is ordered. If you are cleared healthy enough to participate in the activity you desire, the doctor will provide the medical clearance necessary to move forward.

What is a medical clearance for surgery paperwork?

A surgical clearance form is used to determine a patients eligibility for surgery. It is used to assess the patients overall medical condition, to document any existing medical conditions that may affect the outcome of the surgery, and to verify that the patient is healthy enough for the procedure.

Where can I get a clearance letter for surgery?

Answer: Primary physician Your surgeon should be able to give you a referral for a primary doctor you can see for medical clearance. Another option is to contact your insurance carrier for primary care physicians in your area who are accepting new patients.

What is a medical clearance letter from a doctor?

The term is often used by surgeons requesting a medical evaluation before performing surgery on a patient. In the context of surgery, a medical clearance is, essentially, considered to be an authorization from an evaluating clinician that a patient is cleared, or deemed healthy enough, for a proposed surgery.

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Can I get a medical clearance letter online?

Get your clearance letter after a telehealth visit We review everything with you during a 10 to 30 minutes visit with our clinical team. Access our team of pre-surgery expert clinicians by booking your appointment for a video visit.

How to get a medical clearance form?

Obtain the Medical Clearance Form from your healthcare provider or the institution requiring it. Fill in your personal information, including your name, date of birth, and contact details. Provide details of your medical history, including any existing conditions, medications, and previous surgeries.

What is a health clearance form?

The health clearance is a process that results in a document that says youve consulted with a doctor about your medications, vaccinations, and mental health before you go abroad.

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