Pre-Operative Medical History
Thank you for choosing Midwest Center for Day Surgery for your upcoming surgery or procedure.
To start the pre-operative surgical assessment process, Midwest
Center for Day Surgery requests that you fill out your medical history online
with One
Medical Passport. We recommend that you enter your medical history as
soon as your surgery has been scheduled. Once you do this, our Pre-Operative
Assessment Nurse will be able to access the information you entered online.
This information will assist the nurse in organizing and documenting your
complete medical history to prepare for your surgery.
Please be certain to have the following information available prior to starting
your One
Medical Passport:
- The names, addresses, and phone numbers of your primary care physician and any specialists.
- A list of all medications you are currently taking, including their dosage and frequency.
- A list of surgical procedures you have ever had.
- The name of the surgeon who will be performing your upcoming procedure.
Once you have gathered all of your information, please click on One Medical Passport to begin the process.
About One Medical Passport
Completing a One Medical Passport medical history online is easy. For most patients, filling out the entire questionnaire takes less than 30 minutes. Please fill out the questionnaire accurately, and be assured that your information is confidential and will be thoroughly reviewed by your medical team prior to your surgery or procedure. Don't worry about being interrupted during your process as you can come back and complete the unfinished portion of your One Medical Passport. any convenient time.
One
Medical Passport is a website that allows you to enter your information
at any time, from anywhere. You can also print a copy of your health history
after you create it online and keep it with your other healthcare documents.
Future access is available at any time, from any location with an internet
connection, should you want to update or re-print your One
Medical Passport.
Information Security: One
Medical Passport uses the highest grade of internet security available.
Full data encryption with SSL [secure socket layer] technology. Your information
is stored on secure servers, at a secure webhosting site, and will be released
only to your medical team at Naperville Surgical Centre. Your information is
never released to anyone other than your medical team!
Mission Statement
To effectively provide appropriate, safe, efficient and cost-effective care to patients requiring elective ambulatory surgery
Hours
Monday – Friday
6:05 am to 5:00 pm
Contact us
Midwest Center for Day Surgery3811 Highland Ave
Downers Grove, IL 60515-1555
630.852.9300 | Fax 630.852.7773
Advance Notification to Patients
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