Surgical Admission Form Template

This form is used when admitting patients for surgery. It records procedure details, anesthesia plan, medical history, and pre-operative requirements, helping streamline communication between surgical teams.

Key Features

• Surgery type & scheduling details

• Surgeon and anesthetist information

• Medical history, allergies, and medications

• Pre-operative procedure checklist

• Patient consent section

Who Should Use It

Surgical departments, operating rooms, and pre-op units.

• Version
• File Size 294.68 KB
• File Count 1