Requirements for Surgery, Procedures and Tests

Requirements for Surgery

• Complete a COVID-19 screening via telephone. The perioperative services department will call you prior to your surgery
• Have a COVID-19 test performed within a 72-hour period before your surgery start time. Your provider will give you instructions on how and where to obtain your COVID-19 test.
• Complete the COVID-19 Surgical Acknowledgement Form
  
  
  • COVID-19 Surgical Acknowledgement Form
  • Constancia de las responsabilidades del paciente en caso de operaciones y procedimientos realizados durante el covid-19

Requirements for Procedures or Tests

• Complete a COVID-19 screening via telephone. The office performing the procedure or test will call you prior to your visit.
• Have a COVID-19 test performed within a 72-hour period before your procedure or test start time. Your provider will give you instructions as to whether you need a test, and if so, how and where to obtain your COVID-19 test.
• Complete the COVID-19 Procedure/Test Acknowledgement Form
  
  
  • COVID-19 Procedure/Test Acknowledgement Form
  • Constancia de las responsabilidades del paciente para procedimientos y exámenes realizados en la clínica durante el covid-19

The Patient Acknowledgement Forms include recommendations and requirements for scheduled surgeries and procedures during COVID-19. Please take the time to review your form prior to your surgery or procedure. If you would like, you can download, print and sign the form at home and bring it with you at the time of your surgery or procedure. You can also sign a copy when you arrive at the facility.