Patient Guide

Do you have allergies? Please list.

Do you have any health problems? Please list.

Do you have diabetes or high blood pressure?

Have you or your blood relatives had any adverse reaction to anesthesia?

Have you had other surgeries or illnesses?

Have you had a fever, cold or rash recently?

Do you take any medications, including over-the-counter products such as aspirin?
(Please be ready to tell the nurse the name of all your medicines, amount or dosage taken, and how often you take them.)

Do you use alcohol, tobacco or illegal drugs?

Do you take any herbal or dietary supplements?
(Including ephedra-containing products?)