Please complete an Anaesthesia Pre-Operative Assessment Form if you will be undergoing a procedure and consent to anaesthesia. This form is required to fulfill the criteria for surgery. All information is kept strictly confidential and is sought to enable the administration of the safest possible anaesthesia care to you. Please answer all questions as accurately and completely as possible.
This online form has been designed so you can easily complete it on your mobile phone, tablet or desktop/laptop computer. Once submitted, your form will automatically be sent to Epsom Anaesthesia.
