Dr Palipana conducts telehealth anaesthetic reviews on patients undergoing surgery or procedures on behalf of Dr Tharindu Vithanage, an anaesthetist working in Queensland. These forms are used for the sole purpose of conducting a thorough peri-operative assessment to increase patient safety as well as to provide appropriate pre-operative care and optimisation prior to admission.

Identification

Contact Details

Home address

Operation / Procedure Details

Basic Health Information


Social History

Surgical History

Dental History

Medical History

Cardiovascular


Respiratory


Endocrine


Renal / Metabolic / Neurological