To schedule a surgery or procedure at Grand View Health please use One Medical Passport. This tool allows offices to schedule surgeries or procedures anytime from anywhere.
Below you will find forms that may be required for surgeries at Grand View Health. Please read through these instructions and then download the appropriate form.
Orders:
Elective Surgery Order Sheet (Updated January 2021)
Elective Surgery Orders Addendums and Changes Communication Sheet
New Joint Orders (Revised September 2020)
History and Physical
History and Physical Update
Medical Clearance for Surgery
Outpatient Automated Internal Cardiac Defibrillator (AICD)
Blood Product Orders
Forms:
Consent – Surgical
Consent – Blood
Downtime Demographics and Insurance Form
Pre-Surgical Health Assessment
Short Procedure Unit Forms:
Blood Transfusion Booking Sheet
Physician Infusion Order Form
Non-Surgical Reservation Form
Non Surgical Reservation Form Scheduling Instructions