Pre-operative Medical/Cardiac Clearance - Oakland Regional Hospital 2026

1. Click ‘Get Form’ to open the Pre-operative Medical/Cardiac Clearance document in the editor.
2. Begin by entering the patient's name in the designated field at the top of the form. This ensures that all information is accurately associated with the correct patient.
3. Fill in the date of surgery, surgeon's name, and surgical procedure details. These fields are crucial for identifying the context of the medical clearance.
4. Indicate any medications that need to be held prior to surgery by checking the appropriate boxes. If there are additional medications, specify them in the provided space.
5. Select necessary labs or diagnostics required before surgery by checking relevant boxes. Ensure that lab reports are dated within 30 days or diagnostics within 6 months.
6. Mark whether the patient is medically and cardiac cleared for surgery by selecting 'YES' or 'NO'. If a letter is needed, check that option as well.
7. List any co-morbidities being treated for clarity on patient health status.
8. Finally, enter your name, sign, and date at the bottom of the form to complete it before submission.

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