Printable Surgical Pre-Operative Test Order Form - Physician 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's legal surname and first name, along with any other names if applicable. Ensure accuracy as this information is crucial for identification.
3. Fill in the primary procedure, date of birth (DOB), care card number, and the surgeon's name. If not applicable, select 'Not Applicable For This Patient'.
4. In the preoperative lab orders section, check off required tests such as CBC, INR, and others based on the patient's medical history and procedure type.
5. Document any allergies and additional orders in their respective fields to ensure comprehensive patient information is available.
6. For imaging and cardiology orders, indicate necessary tests like ECG or chest X-ray as per doctor's recommendations.
7. Finally, sign and date the form at the bottom to validate it before submission.

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