St. Andrew's Anaesthetists Group
Pre-Operative Assessment
It is imperative that you complete a Pre-Anaesthetic Questionnaire as soon as you have confirmed the date of your surgery.
This gives us some information about your general health and enables us to ensure that your operation can go ahead safely. Failure to complete the questionnaire could lead to your operation being postponed on the day of surgery.
COMPLETE YOUR PRE-ANAESTHETIC QUESTIONNAIRE ONLINE NOW!
You can do this by using the secure link below. Our online questionnaire provides the highest levels of security, complying to NHS guidelines on data security and also to the American 'gold standard' for collecting Healthcare Information; the HIPAA. Any data you enter is encrypted, completely confidential and accessible only by us.
If you would prefer not to use the online service, we also have a paper version of the questionnaire. The online service is quicker to complete though and uses dynamic questioning to gain more information in the areas relevant to you. We receive your information immediately and it saves you the cost of a stamp and a trip to the post-box!
Pre-operative Assessment Clinic
In a small number of cases it may be necessary for you to see one of our Consultants in the Anaesthetic Pre-operative Assessment Clinic. This depends on the type of surgery you are having and on your overall health. The clinic gives us the opportunity to explain the anaesthetic options in more detail to you and also to arrange any tests that may be necessary before your operation can go ahead.
If you are considering surgery but are unsure whether to proceed, you may find it helpful to see us beforehand in the Pre-Assessment clinic. We can discuss any health or medical concerns you may have and decide what the safest options are. You do not have to be booked for surgery to visit our clinic, just contact us to arrange an appointment. There is a charge for this service.
Pre-Anaesthetic Questionnaire
Online Form
Pre-Anaesthetic Questionnaire
Printable Form
If you would prefer to print out the Pre-Anaesthetic Questionnaire to complete and then post back to us, please use the link below.
To download and print
StAAG Pre-Anaesthetic Questionnaire.pdf
Adobe Acrobat document [351.5 KB]
More Information About Pre-Operative Assessment
STAAG follows guidance published by the Association of Anaesthetists of Great Britain and Ireland (AAGBI) concerning pre-operative assessment which can be read here
We also endorse the recommendations made on pre-operative testing by The National Institue for Clinical Excellence (NICE). The full guidelines can be downloaded here.
Contact us
St Andrew's Anaesthetists Group
220-224 New London Road
Chelmsford
Essex
CM2 9AE
Phone:
01245 343667 01245 343667
Fax:
01245 200351
Email:
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