Have you completed the required Lab Work ordered by the Surgeon prior to your upcoming procedure
Any Hospital admissions in the last 7 days*
Do you require any special accommodation on the date of your procedure?*
Have you had any surgeries in the last 7 days un-related to your upcoming procedure. E.g. Back Surgery, Colonoscopy etc.*
In the past 14 days, have you tested positive for the Flu Virus or COVID virus?*
In the past 7 days, have you has the following symptoms: Fever, coughing, swollen lymph nodes or congestion?*
Are you currently taking antibiotics for any recent infections unrelated to your upcoming procedures.*