Pre-procedure Physical (Health and Physical) Forms
OR FORMS
Steps to take before the surgery date
- Schedule a history and physical exam with your child’s pediatrician as soon as possible. (This exam cannot be done more than 30 days before the procedure).
- If you have questions regarding medical insurance coverage, please contact your insurance company ASAP once scheduled. Sometimes it can take 2-4 weeks to get information on your coverage.
- Call us or text us at 980-999-3186 with the date of the physical exam.
- Get a copy of your physical form before you leave the pediatrician’s office.
- If your child is sick (fever, cough, congested, etc.) prior to the procedure, please let us know.
- Arrange childcare for other siblings (Only 2 adults are allowed at surgery appointments and 1 MUST be a parent or legal guardian)
- If you owe a balance on your child’s procedure, this is due two weeks prior to the date of the surgery. If you have any questions, please contact us at 980-999-3186 ASAP.
- We will call 1-2 days before surgery to go over important information, be on the lookout for our phone call.
Steps to take day of surgery
- Always supervise your child before surgery to make sure they do not eat or drink
- Your child should wear loose-fitting clothing to the procedure. (no jewelry)
- NO eating or drinking after midnight the day before surgery. (Please notify us ASAP if you believe your child has eaten or had ANYTHING to drink)
- Please plan to be at the facility for at minimum half of the day.
Steps to take after surgery
- Please follow all post-op instructions and call or text 980-999-3186 if you have any questions.
- Do not leave your child unattended for the first 24 hours after surgery.
- We will call 1-2 days after surgery to schedule a 2-3 week follow-up.
- Please keep us updated if you notice any of the following: loss of appetite 2-5 days, facial swelling, prolonged nausea, or fever that does not respond to Children’s Tylenol. Please call our office at 980-999-3186 or go to the emergency room.