In order to provide the best care and avoid any last-minute cancellations, we require a medical history questionnaire to be completed. This is available online for your convenience and must be completed at least 24 to 48 hours prior to your scheduled surgical date.
Instructions
This tool is part of the industry-leading, advanced technology system implementing HIPAA security for your information.
- Please complete all sections
- If a section does not apply, please select the check box for “No Issues”
- Be sure to include your complete medical history including current conditions, prescription and over-the-counter medications (past and present), past medical conditions/surgeries
Upon receipt, someone from our team will call you regarding your appointment.
What You Will Need:
- List of all medications
- List of allergies and sensitivities
- Name and date of previous surgeries
- Your medical history
Pre-Operative Checklist
- Attend all recommended/required medical appointments, including any pre-operative testing, if necessary.
- Fill prescriptions from your surgeon.
- Confirm your ride home from the surgery center. You must have a responsible adult to take you home and care for you 24 hours after your surgery. We do not permit patients to go home via public transportation (bus, Uber, Lyft, etc). If you do not have a ride and caretaker, your surgery will be cancelled.
Day Before Surgery
Food and Drink Instructions
- No solid food, milk products, or alcohol after midnight.
- Patients may drink 16 ounces of clear liquids up to two hours before surgery. Stop all liquids two hours before surgery begins.
- Examples of clear liquids include:
- Water
- Tea
- Carbonated drinks (Coke, 7-Up, etc.)
- Fruit juice (no pulp) but no vegetable juice
- Sports drink, excluding protein drinks
- Coffee with sugar is okay but no milk, cream or other products
- No gum or hard candy
Tobacco and Marijuana Products
- No tobacco products – cigarettes, dip, chew, vaping, marijuana, e-cigs day of surgery
- No marijuana products for 24 hours before or after surgery
Responsible Adult
You must have someone here with you on the day of surgery. The person taking you home must meet the following requirements:
- At least 18 years old
- This person must be available by phone while you have your surgery
- Your responsible adult will be required to sign your discharge instructions, they will be in writing for you as well
- They must drive you home
If You Are Diabetic
Check your blood sugar at home before coming in for surgery. If your blood sugar is less than 80 or more than 250, please call us at (631) 380-2710.
Other Instructions
- Please notify your surgeon if you develop a fever or respiratory infection prior to your surgery
- Please be careful to keep your surgery site free of blisters, bits, cuts, etc.
- Please do not bring children to the surgery center. They will not be admitted to any clinical area, and children are not allowed to be unattended in the waiting area
- Wear comfortable, loose fitting clothing
- For shoulders or hand surgery, wear a button up shirt
- Instructions personalized for you will be provided at the time of discharge
Day of Surgery
- Stop drinking clear liquids 4 hours before your surgery time.
- Report to the surgery center approximately 1½ hours prior to your scheduled surgery time (our pre-operative nurse will confirm the time the day before surgery).
- Arrive promptly at the time instructed during your pre-op phone call. This will allow adequate time for all necessary admission procedures.
- Please bring your insurance ID cards and photo ID. If special financial arrangements are necessary, please call the PrecisionCare Surgery Center prior to admission.
- Leave jewelry and all valuables at home.
- Remove body piercing jewelry. No false eyelashes.
- Upon arrival, you will change into a hospital gown and slippers, which we provide. You will be asked to remove contact lenses, dentures, and any prosthesis. No cell phones are permitted in the patient care areas.
- Be sure to bring any paperwork your doctor gave you such as test results or your medical history and a list of medications.
Day After Surgery
- It is perfectly normal to feel discomfort in the area of the surgery. You may also experience some drowsiness or dizziness depending on the kind of anesthesia you received.
- Your surgeon will provide specific instructions for care while recovering at home. In the event of difficulty, please call your surgeon.
- For the first 24 hours following surgery, do not engage in strenuous activities, do not drink alcoholic beverages, drive or make any important decisions.
- You will be asked to complete a questionnaire about the care you received. Your comments will enable us to continue to improve our services.
Pain
You will probably have some pain after your surgery. We will help manage this by using a combination of ice, nerve blocks, anti-inflammatories, and pain medication. It’s important that you take your medications exactly as you are instructed. If your pain is not controlled, please notify your surgeon.
Post-Op Nausea and Vomiting (PONV)
Depending on your risk factors and type of surgery, we will be using medications and a variety of anesthesia techniques to minimize PONV. If you have a history of PONV in the past, we may prescribe medication to be taken prior to arriving at the surgery center.
Bleeding
There should not be excessive bleeding after your surgery. A small amount of blood on your dressing is normal. If you have excessive bleeding after your surgery, call your surgeon immediately, or go to the nearest Emergency Department.
Infection
Infection is a possible but unexpected complication after surgery. Signs of possible infection include:
- Temperature greater than 101
- Swelling, warmth, or redness at the surgical site
- Drainage at the surgical site
Anticipating surgery can be stressful and part of the anxiety can arise out of not fully understanding out-of-pocket expenses associated with a proposed surgery. At PrecisionCare Surgery Center, we believe it is important to make patients aware of their potential financial expense prior to their procedure.
One of our insurance verification specialists will contact you if there is an anticipated out of pocket expense associated with your planned procedure. Please realize charges for your procedure at PrecisionCare Surgery Center are separate from your surgeon’s charge as well as any anesthesiologist* and/or pathologist charges which may be incurred.
If your procedure is not covered by insurance, full payment is required at the time of service unless other arrangements are made in advance.
Patients – or their legal guardians – are ultimately responsible for payment of facility services at Precision Care Surgery Center. As a courtesy, Precision Care Surgery Center will bill your primary and secondary insurance carriers for you. Please bring your insurance cards with you on the day of surgery. We are required to collect all co-payments from our patients and we will call you to discuss any patient responsibility related to your co-payments. Such co-payments may include deductibles, co-insurance or any non-covered items identified by your insurance plan.
PrecisionCare Surgery Center accepts cash, checks, any major credit card, a Flexible Spending Account (FSA), or a Health Savings Account (HSA) as a financing option. Feel free to contact our business office at 631-380-2710 Monday through Friday 8:30 AM to 4:00 PM with questions regarding your billing or insurance information. We will be happy to assist you.
*Anesthesia services at PrecisionCare Surgery Center is provided by Long Island Anesthesia Physicians. Questions concerning their fees should be directed to their billing service at 631-503-1400 or visit https://lianesthesia.com/.
One of our insurance verification specialists will contact you if there is an anticipated out of pocket expense associated with your planned procedure. Please realize charges for your procedure at PrecisionCare Surgery Center are separate from your surgeon’s charge as well as any anesthesiologist* and/or pathologist charges which may be incurred.
The estimated rate amount for out-of-network services is available upon your request. You may be responsible for co-insurance and deductibles not covered by your insurer. Please note that such estimates cannot account for unforeseen medical circumstances that may arise while the services are performed.
The Centers business office staff may contact you to verify your insurance and identify any out of pocket expense you may have. If you do not receive a call before noon the day prior to your procedure, please contact the office at 1-866-787-4426 ext. 115. This is also the number to call for all billing questions related to your surgical services at the surgery center.