For your convenience, we have created an interactive PDF pre-operative paperwork packet for you to complete in the comfort of your home. Much of the information may be filled out via the interactive forms; signatures and family history information will need to be filled out once you have printed your forms. These forms will require Adobe Acrobat Reader to view, fill out, and finally print. Acrobat Reader is available for free download on the Adobe Web Site: http://get.adobe.com/reader/

Once you have completed your packet, please bring it with you to your appointment at the Pre-Op Clinic.

P&S Surgical Hospital Pre-op paperwork

P&S Surgical Hospital Tobacco Free Form

Once your surgery is scheduled, your doctor may instruct you to have a few tests prior to your surgery. You may have your tests conducted at the P&S Surgical Hospital Pre-Op clinic, located in Suite 204 on the second floor of our hospital. Or, we can assist in obtaining recent results from another facility. Our staff will assist you in completing the required paperwork, in addition to assessing the need for any additional testing, such as lab work, xrays, or EKGs. Our staff will also answer any questions you may have.

Please arrange for someone to take you home from the hospital. You’ll need to have someone with you at your home for at least 24 hours after your procedure.

On the night before surgery, do not shave the area where you will be operated on within 48 hours of your actual surgery.

Adult diet instructions the night before surgery

Eat a light supper about 6 p.m. Examples include soup and sandwich, chicken breast with pasta or potatoes. Avoid anything high in fat or fried.

After this, drink only clear liquids until midnight. (A clear liquid is anything that is liquid at room temperature, and you can see through it.)

This includes:

  • Water
  • Popsicles
  • Soft drinks like Sprite, Coke, Diet Coke
  • Kool-aid
  • Tea or coffee without cream or milk
  • Juice: apple juice, grape juice or cranberry juice, but no juice with pulp (orange juice)

Milk and alcohol beverages are not considered clear liquids and should not be consumed after 6 p.m. the night before your procedure. Do not consume gum, hard candy, or smokeless tobacco on the night prior to your surgery.

Do not eat or drink anything—even gum or hard candy—after midnight.

See Pediatric Diet Instructions

Pack your bag

Patients should bring:

  • insurance card
  • driver’s license or current photo ID
  • insurance co-pay/surgery deposit
  • Advanced Medical Directives
  • important phone numbers
  • a copy of your medication list, including the dosage and frequency
  • contact lens container/solution
  • inhaler
  • any walker/cane/assistive device you routinely use
  • parents of pediatric patients should bring their child’s favorite sippy cup
  • previous X-rays, MRIs or CTs, if necessary (you may also bring a disc if you were given one)
  • Overnight patients should bring:

  • gown/robe
  • non-skid slippers
  • personal care items
  • CPAP, if you use one

On the morning of your surgery

Please do not wear or bring any jewelry to the hospital. Please leave any large sums of cash or credit cards at home.

  • Do not take your diabetes medicine.
  • Do not wear any makeup.
  • Do not use any perfume, body lotions, or extra hair products such as hair spray or hair gel.
  • Shampoo your hair, but do not apply any extra hair products.
  • Do take heart/blood pressure medicine, oral steroids, and any seizure medication with a sip of water.
  • Use your inhalers as prescribed, and bring them with you.
  • If you wear dentures, please do not use any adhesive.
  • Remove all jewelry, including body piercings.
  • You may wear glasses (no contacts) or dentures, but they will need to be removed before surgery, so please bring your storage cases for these items.
  • Please leave any luggage in your vehicle; after your surgery is complete, your guests may bring it to your room.