If yes, list all past surgical procedures: 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Locate the section labeled 'Have you ever had surgery?'. This is where you will indicate your surgical history.
  3. If you answer 'Yes', a text box will appear prompting you to list all past surgical procedures. Click on the text box to begin typing.
  4. Provide detailed information about each procedure, including dates and types of surgeries. Use bullet points for clarity if necessary.
  5. Review your entries for accuracy and completeness before proceeding to other sections of the form.

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Five Steps to Safer Surgery is a surgical safety checklist. It involves briefing, sign-in, timeout, sign-out and debriefing, and is now advocated by the National Patient Safety Agency (NPSA) for all patients in England and Wales undergoing surgical procedures.
Common Surgical Procedures Appendectomy. biopsy. Carotid endarterectomy. Cataract surgery. Cesarean section (also called a c-section). Cholecystectomy. Coronary artery bypass. Debridement of wound, burn, or infection.
Surgical history is defined as a record of past surgical procedures, including details about inpatient or outpatient surgeries, their outcomes, any loss of function of paired organs, and ongoing surgical conditions.