Pre-Operation Forms

Slide 1

Save Your Time, Be Prepared

To make better use of your time and to streamline your appointment, please print and fill out these pre-operation forms and bring them to your appointment.

Steps:
  1. Download the form on the right
  2. Reopen the form from your “Downloads” folder on your computer, NOT from the bar at the bottom of the screen. The form should open in a separate Microsoft Edge window
  3. Fill out the form on the computer
  4. Save your answers by clicking “Save As” and rename the form “Your Name – TOH Pre-Op Health History”
  5. Upload your filled out forms here to send to us.
  6. Print out a copy of your filled out form to also bring to your appointment at iCare

*On page 5, please input your initials as well as sign the Signature box once printed and bring the form in to us.

Please download and fill out this Pre-Op Health History Questionnaire
Download
Veuillez télécharger et remplir ce questionnaire préopératoire sur les antécédents médicaux
Download