Pre-op Screen Patient Form 2026

1. Click ‘Get Form’ to open the Pre-op Screen Patient Form in the editor.
2. Begin by entering the date of surgery and the surgeon’s name at the top of the form. This information is crucial for your child's medical records.
3. Fill out the patient information section, including your child’s name, date of birth, age, and contact numbers. Ensure all details are accurate to avoid any delays.
4. Answer all medical history questions thoroughly. If a question does not apply, write 'N.A.' next to it. This helps provide clear information to the healthcare team.
5. In the anesthesia information section, indicate any past issues with anesthesia and list any surgeries or hospitalizations your child has had.
6. Complete the pre-admission information by providing details about insurance coverage and emergency contacts. Make sure this section is filled out completely for smooth processing.

Start filling out your Pre-op Screen Patient Form online for free today!