It is good practice that we inform your GP but if you cannot provide their details we will provide you with a
letter to give to your GP.
Please complete the following health questionnaire ~ Answer ALL questions
Do you or have you had any of the following?
Allergies and Sensitivities
As a process of pre-admission we may need to request documentation from your GP or other health care
provider. Wherever necessary, we would appreciate if you could forward any medical test results you have
received in the last 6 months directly to your patient coordinator.
Please provide the full name of who is accompanying you after the surgery or who will be with you at home in the first 24-48 hours.
Please include at least two photos as shown.