Pre-Admission Testing Questionnaire

Easy Steps to determine if Pre-Admission Testing is required:

• Fill out the questionnaire below online. It takes less than 5 minutes to complete and submit the form.
• Or you can download the Pre-Admission Testing Questionnaire at the bottom of this page and fax the completed questionnaire to 866.249.5146

Our Medical Director will review the questionnaire within 24 hours. Our nursing staff will contact you if our Medical Director requires additional information. By allowing us to make the decisions, we can save time for you, and create an easier and less stressful peri-operative experience.

Should you have any questions, please feel free to contact:
Patient Admissions Department at 212.254.3570
or MedicalClearances@GramercySurgery.com