Anesthesia History Form through One Medical Passport
Prior to your procedure complete the Anesthesia History form at My Passport
Wear loose fitting, comfortable clothing. Some patients wear or bring a gown or shirt that buttons in the front for easy access. During surgery you will wear a gown provided by the surgery center. Wear flat, comfortable shoes that can easily be slipped on after your procedure.
No jewelry of any type may be worn during surgical procedures, as it increases the risk for infection. You may also be required to remove make-up or nail polish, depending on the type of procedure being performed.
All patients must complete information within our One Medical Passport patient portal. You will need to create a login and provide, among other things, a listing of your current medications and medical history information that is pertinent to a pre-operative / pre-procedure assessment. Once you have completed it, keep your login and password – if you ever have a procedure or surgery again at the Morsani Center, you will only need to update your profile.
Bring completed insurance forms, your insurance cards and all relevant medical information requested. Please check with your insurance company for pre-admission requirements, such as second opinions, pre-admission certification, co-payment amount, and deductibles (see Insurance and Billing Link). This will help to expedite the admission process the day of your procedure.
Arrange for an adult to accompany you to the facility as you will not be able to drive yourself home after your procedure. You should make arrangements for someone to stay with you for at least 24 to 48 hours after your surgery.
You may feel slightly dizzy or sleepy after your procedure. This is normal. Please be sure to notify your doctor right away if you have a fever or excessive pain or inflammation.
Do not eat or drink anything (including mints, gum, candy, or water) for at least 8 hours prior to your procedure.
If you are taking a blood thinner medication, notify your physician at least 2 weeks before your surgery, as you cannot take these types of medications prior to surgery. If you are taking any weight loss medications, these must be stopped 2 weeks prior to your procedure. If you are taking any medication, please notify your physician for instructions regarding these medications prior to your surgery. You must get instructions from your physician regarding any prescription medication(s) you will be taking the morning of the procedure. You may be instructed to take certain medications with just a sip of water. If you use an inhaler or insulin, please bring it with you.
Bathe or shower the night before and the morning of your procedure with anti-bacterial soap. This will minimize the chance of infection. You may brush your teeth, but do not swallow any water.
Refrain from these activities at least 24 hours before and following your procedure.
If you are pregnant or suspect you may be pregnant, please notify your physician. Anesthesia and certain medications for the procedure may be harmful during pregnancy.
If there is any change in your health between the last visit with your physician and the day of your scheduled surgery, please notify your physician immediately. Minor health changes, such as a cough, cold, or fever can impact your surgery.
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