As a patient coming to Crittenton Hospital Medical Center for a surgical procedure, you will be contacted by a registered nurse prior to your scheduled date for surgery. The nurse will conduct a telephone interview to obtain y
our health history. Some patients may need diagnostic tests prior to surgery, which can be arranged by the nurse. Tests may be done a few weeks to a few days before your surgery.
It is important to provide a complete and accurate health history, including current medications being taken. If testing or further evaluations are needed, the Pre-Admission Testing staff will coordinate this with you and your surgeon.
If you have additional questions contact Pre-Admission Testing at 248-652-5306, Monday to Friday from 7 a.m. to 5 p.m.
Pre-Anesthesia Testing
Please Download and complete the questionnaire below as fully and accurately as possible. We depend on you to provide accurate and complete information, as it will be used to enable us to care for you safely. Thank you for your help. We look forward to caring for you at Crittenton. Please fax the completed form to 248-652-5843 as soon as possible.
Pre-Anesthesia Patient Questionnaire