PRE-SURGICAL Checklist

PRE-SURGICAL TESTING: Have you...

• Arranged for someone to drive you home after surgery?
   
• Arranged for a responsible adult to be with you at home for 24 hours after surgery?
   
• Made a list of medications (even over-the-counter medicines), including names, dosage and times you take them, to bring to your pre-surgical visit?
   
• Collected insurance cards and forms to bring to your pre-surgical testing visit?
   
• Completed Advance Directive paperwork (healthcare proxy, living will) and any paperwork given to you by your doctor?
   
• Made a list of any questions we can help you with?
   

SURGERY: Have you...

• Remembered the Pre-Surgical Food and Drink Instructions?
   
• Taken medications as ordered?
   
• In the case of a child, brought your child's immunization records and a favorite toy or security item?
   
• Called 262-1200 if you have any questions?