GENERIC PRE-OP ORDER FORM 1003 DOC TNB49E-revbnew-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the surgeon's name, phone, and fax number at the top of the form. This information is crucial for communication regarding the patient's surgery.
  3. Fill in the patient’s name and date of birth. Ensure accuracy as this information will be used throughout the surgical process.
  4. Complete the surgery confirmation number field to track and confirm surgical details.
  5. Review and check off necessary pre-op testing under 'General Surgery Pre-op Testing'. Make sure to note any specific requirements based on patient conditions such as age or medical history.
  6. Indicate any allergies in the designated section to ensure patient safety during anesthesia and medication administration.
  7. Finally, have the physician sign and date at the bottom of the form to authorize all orders listed above.

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