Medical Questionnaire in Preparation for Anaesthesia
This questionnaire is for patients planning orthopaedic surgery at the Gelenk-Klinik Hospital in Germany. Please complete the form once you have requested a surgical appointment at our clinic.
Why is it important to complete this form?
Every anaesthetic procedure can have risks and side effects. The safety and comfort of our patients are our highest concern. The duty of the anaesthetist is to keep you safe at all times during your orthopaedic procedure.
In order to be able to avoid risks, it is important that you answer the questions below. If following this questionnaire, further information is required from you, the anaesthetist will contact you with further questions.
The anaesthetist will make recommendations in preparation for your procedure. A thorough and diligent follow-up to this questionnaire increases your safety and is important for the positive outcome of your procedure.
If you have any concerns about the private nature of any of the questions below, you may choose to postpone this interview until you arrive in our clinic (if this is the case, please tell us, so that this can be noted on your file).