Pre op physical forms 2026

1. Click ‘Get Form’ to open the preoperative history and physical examination form in the editor.
2. Begin by entering the patient's last name, first name, middle initial, age, gender, surgery date, surgeon's name, and procedure details in the designated fields.
3. In the medical history section, list any relevant medical conditions or past surgeries. Use bullet points for clarity.
4. Document current medications along with their dosages and note any drug sensitivities and reactions in the provided fields.
5. Indicate immunization status and check 'Yes' or 'No' for latex sensitivity as applicable.
6. Fill in vital signs including pulse, blood pressure, temperature, height, and weight accurately.
7. Complete the general assessment and specific examinations (HEENT, heart, lungs, abdomen) by providing detailed observations.
8. Finally, based on your evaluation, indicate whether the patient is stable for surgery or not ready for surgery. Ensure to sign and date the form before submission.

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