{"id":1027,"date":"2022-03-06T18:19:45","date_gmt":"2022-03-06T23:19:45","guid":{"rendered":"https:\/\/timetodreamanesthesia.com\/?page_id=1027"},"modified":"2022-03-15T12:40:04","modified_gmt":"2022-03-15T16:40:04","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/timetodreamanesthesia.com\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"<p><style>\/*! elementor - v3.5.6 - 28-02-2022 *\/<br \/>\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style>\n<\/p>\n<h2>Thank you for choosing us to join your care team!<\/h2>\n<p>LOH Anesthesia Services, LLC is committed to safeguarding your comfort throughout this process.&nbsp;<\/p>\n<p><\/p>\n<h3>Check the boxes to keep track of your progress.<\/h3>\n<p>We&#8217;ve provided a short checklist with the links you&#8217;ll need to help you ensure that you&#8217;ve completed all of your pre-procedural forms.<\/p>\n\n<div><div class=\"wp-block-pluginette-todo-block-item-wrapper\"><input class=\"wp-block-pluginette-todo-input\" type=\"checkbox\" value=\"1\"    \/>\n<div class=\"wp-block-pluginette-todo-block-item\">Fill out the\u2008<a href=\"https:\/\/timetodreamanesthesia.com\/hipaa-privacy-policy\/\">HIPAA Privacy Policy Form<\/a>\u2008so that we know how you would like to be contacted.<\/div>\n<\/div><div class=\"wp-block-pluginette-todo-block-item-wrapper\"><input class=\"wp-block-pluginette-todo-input\" type=\"checkbox\" value=\"1\"    \/>\n<div class=\"wp-block-pluginette-todo-block-item\"> Review the\u2008<a href=\"https:\/\/timetodreamanesthesia.com\/informed-consent\/\">Informed Consent<\/a>\u2008form that you will sign in person on the day of your procedure.<\/div>\n<\/div><div class=\"wp-block-pluginette-todo-block-item-wrapper\"><input class=\"wp-block-pluginette-todo-input\" type=\"checkbox\" value=\"1\"    \/>\n<div class=\"wp-block-pluginette-todo-block-item\"> Acknowledge that you have read the\u2008<a href=\"https:\/\/timetodreamanesthesia.com\/pre-anesthesia-instructions\/\">Pre-Anesthesia Instructions<\/a>. <\/div>\n<\/div><div class=\"wp-block-pluginette-todo-block-item-wrapper\"><input class=\"wp-block-pluginette-todo-input\" type=\"checkbox\" value=\"1\"    \/>\n<div class=\"wp-block-pluginette-todo-block-item\"> Acknowledge that you have read the\u2008<a href=\"https:\/\/timetodreamanesthesia.com\/post-anesthesia-instruction-form\/\">Post-Anesthesia Instructions<\/a>.<\/div>\n<\/div><div class=\"wp-block-pluginette-todo-block-item-wrapper\"><input class=\"wp-block-pluginette-todo-input\" type=\"checkbox\" value=\"1\"    \/>\n<div class=\"wp-block-pluginette-todo-block-item\"> <a href=\"https:\/\/paylink.paytrace.com\/?m=eyJhbGciOiJBMjU2S1ciLCJlbmMiOiJBMTI4R0NNIn0.KTi5EK2z95OPzkZRlZEMYmzvnlzIp2hV.aReC1IgdowVXC9uR.YHuKdjVlV1-fU8iQEXfrxj5v4r062j5YU2YcYT585V9zSRCceWWByMpqHslPWCVxxMMKhGCN3appqPOIRBxScXsN__VCHQCLjIzhSTrDBFiFZRRLgNYW_CiTFuLeYV3Qu0nWyTsnh-RUZDFWAIPDCJZzrAEiJEwQrj9qpQj_lDTH0EvjIK0131Q3jf_JTwHOz3FsTEVCeT3m2Nzk1RmEUJDpnM8SOCKaHidN6vl-qDq0wzZH3lRFezj1Y33umTVDG19IVaogkxjfTt9IyUgZk29DvlD2ciR_GOMo4Y4.v-ld_vQX5DSWJp2_sNb5tw&amp;amount=250%2E00&amp;amountReadOnly=false&amp;invoiceReadOnly=false\" target=\"_blank\" rel=\"noreferrer noopener\">Submit your deposit<\/a>.<\/div>\n<\/div><div class=\"wp-block-pluginette-todo-block-item-wrapper\"><input class=\"wp-block-pluginette-todo-input\" type=\"checkbox\" value=\"1\"    \/>\n<div class=\"wp-block-pluginette-todo-block-item\"> Fill out the\u2008<a href=\"https:\/\/timetodreamanesthesia.com\/preop-questionnaire\/\">Medical History Questionnaire<\/a>.<\/div>\n<\/div><input type=\"hidden\" id=\"tdb_nonce_input_id\" value=\"43d8d95ca0\"><input type=\"hidden\" id=\"tdb_post_id\" value=\"1027\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Thank you for choosing us to join your care team! LOH Anesthesia Services, LLC is committed to safeguarding your comfort throughout this process.&nbsp; Check the boxes to keep track of &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_wp_rev_ctl_limit":""},"_links":{"self":[{"href":"https:\/\/timetodreamanesthesia.com\/wp-json\/wp\/v2\/pages\/1027"}],"collection":[{"href":"https:\/\/timetodreamanesthesia.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/timetodreamanesthesia.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/timetodreamanesthesia.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/timetodreamanesthesia.com\/wp-json\/wp\/v2\/comments?post=1027"}],"version-history":[{"count":27,"href":"https:\/\/timetodreamanesthesia.com\/wp-json\/wp\/v2\/pages\/1027\/revisions"}],"predecessor-version":[{"id":1129,"href":"https:\/\/timetodreamanesthesia.com\/wp-json\/wp\/v2\/pages\/1027\/revisions\/1129"}],"wp:attachment":[{"href":"https:\/\/timetodreamanesthesia.com\/wp-json\/wp\/v2\/media?parent=1027"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}