Surgical booking forms
Patients scheduled for surgery complete some or all of the forms below. Your urologist's office will tell you which ones you need.
- Statement of Informed Consent
- Admission Registration FormFillable form
- Pre-Op Health History Patient QuestionnaireFillable form
- Pre-Op Health History Patient QuestionnaireTamil
- Pre-Op Health History Patient QuestionnaireSimplified Chinese
- Pre-Op Health History Patient QuestionnaireTraditional Chinese
Completing your forms
The forms do not need to be printed. Download them and complete them in any program that supports PDF documents, such as Adobe Acrobat Reader for Windows or Mac, or Adobe Fill & Sign for iOS or Android.
Returning your forms
You may return completed forms by e-mail or through the Medeo Secure Messaging portal. E-mail is not considered a secure form of communication, and we cannot guarantee the security and privacy of any Personal Health Information sent by e-mail. By returning your form by e-mail, you acknowledge that your Personal Health Information carries an inherent risk of disclosure to third parties.
For a more secure method, please use Medeo Secure Messaging. If you do not have an account, contact your urologist's office to set one up.