Pre-Op Medical History

Thank you for choosing Palos Hills Surgery Center for your upcoming surgery or procedure.

To start the pre-operative surgical assessment process, Palos Hills Surgery Center 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. A computer is available in the doctor’s office if needed.

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.

At the end of the data entry process you will be prompted to select your preoperative instructions based on the type of anesthesia your surgeon said you will have. Please select and print the instructions, and have them available to refer to when our nurse calls you before your surgery. You may want to make some notes during this phone call.

Once you have gathered your information, please click on One Medical Passport to begin the process.

Start Your One Medical Passport

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 at 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 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 Palos Hills Surgery Center. Your information is never released to anyone other than your medical team!

Palos Hills Surgery Center

10330 S. Roberts Road
Palos Hills, IL 60465

Ph: (708) 237-7290
Fax: (708) 237-7299

Office Hours
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Monday - Friday 6am - 5pm
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We’re so convinced that our service will always be delivered at an uncompromising level of excellence, we’re willing to guarantee it.

How effective is our guarantee? Ongoing satisfaction surveys indicate that 99% of our patients would return if they were ever to need surgery again.

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Contact Palos Hills

10330 S. Roberts Road
Palos Hills, IL 60465

Ph: (708) 237-7290
Fax: (708) 237-7299