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  • Surgical Clearance Letter

Get Surgical Clearance Letter

Print a copy and take to your primary care physician s office for them to complete. We ask that you assist us in ensuring your primary care physician completes this form in a timely manner. If you are unable to take to their office, please direct them to our website at www.atlantaeye.com, and click on Surgical Patient Forms. Upon completion of the form, please fax to: Attention: VIP Services Fax # (404) 294-3353 Alternate Fax # (404) 294-9361 If you have any questions, please contact us via p.

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This checkup is usually held around 1 month before the date your surgery is scheduled. This provides your doctor and surgeon with plenty of time to address any medical issues prior to surgery. The pre-op exam includes a basic physical exam, as well as discussing your health history and current health.

There are six possible statuses of your Medical Clearance, defined as follows: Cleared: You have passed the medical clearance process and do not need to take any further action. Deferred: You have been medically deferred and will be contacted by the program with additional information.

7 Tips for a Successful Medical Exam 1) Get a good night's sleep. Try to get eight hours the night before your exam so your blood pressure is as low as possible. 2) Avoid salty or fatty foods. ... 3) Avoid exercise. ... 4) Don't drink coffee or any caffeinated products. ... 5) Fast. ... 6) Drink water. ... 7) Know your meds.

Document the requesting provider's name and the reason for the preoperative medical evaluation. Forward a copy of the findings of the evaluation and management service and recommendations to the surgeon clearing the patient for surgery. Assign diagnosis code Z01. 812 for the primary diagnosis.

Patients who have a complex medical history, a history of cardiac conditions (especially related to anesthesia), and current comorbidities typically need cardiac testing for surgical clearance. More complex and high-risk surgeries such as joint replacement surgery also require cardiac testing.

On the other hand, a medical clearance (opens in a new window) is defined as an “official authorization for something to proceed or take place.” An example of this is when one healthcare provider requests a clearance (usually a signed form) from another healthcare provider prior to providing treatment or having the ...

Examples of conditions that require medical clearance include: Anaphylaxis. Recent illness, hospitalisation, surgery or injury including bone fractures. Heart disease. Lung disease. Ear and sinus problems. Psychiatric conditions. Behavioural conditions. Neurological conditions, including seizures and epilepsy.

The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Additionally, the scope and frequency of the required follow-up must be determined.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232