Yes. If your appointment includes blood work, you must fast for 8–10 hours before your blood draw unless otherwise instructed by your surgeon or provider. You may drink water during your fasting period to stay hydrated.

After your blood draw, eating a light snack can help reduce dizziness or lightheadedness, especially after fasting.

Yes. Staying well hydrated before your appointment is encouraged and often makes blood collection easier.Yes. Staying well hydrated before your appointment is encouraged and often makes blood collection easier.

Unless instructed otherwise by your surgeon or prescribing provider, continue taking your medications as directed. Please bring a complete medication list to your appointment.

No. Please remove necklaces, chest jewelry, body piercings in the chest area, smart watches, or other metal accessories that may interfere with accurate EKG lead placement.

Please bring: government-issued photo ID, your surgeon’s clearance paperwork, a medication list, insurance information if laboratory services will be billed through insurance, and previous laboratory results or medical records if requested.

Our goal is to determine whether you are medically optimized for surgery. Some patients may require additional testing, treatment, specialist evaluation, or follow-up before medical clearance can be provided. Clearance decisions are based on your medical history, physical examination, laboratory results, EKG findings, and your surgeon’s requirements.

No. Scheduling and paying for a pre-operative evaluation does not guarantee medical clearance. The purpose of the appointment is to evaluate whether it is medically appropriate and safe for you to proceed with surgery.

If abnormal findings are identified, our provider will explain the results and discuss the next steps. Depending on your situation, additional testing, treatment, repeat laboratory work, specialist evaluation, or follow-up care may be recommended before clearance can be completed.

Patients can help prepare by following fasting instructions, drinking plenty of water, bringing all required paperwork, taking prescribed medications as directed, following the surgeon’s pre-operative instructions, completing laboratory testing promptly, and avoiding nicotine products if advised by the surgeon. No medical provider can guarantee surgical clearance prior to completing the medical evaluation.

Most appointments take approximately 30–45 minutes, depending on whether laboratory testing, an EKG, or additional evaluation is required.

Most clearance letters are completed within 24–48 hours after all required laboratory results have been received. Expedited turnaround may be available for an additional fee.

Additional testing can often be coordinated through our office. Additional fees may apply depending on the services requested.

If surgery is postponed for more than 30 days, laboratory testing expires, your medical condition changes, or your surgeon requests updated documentation, an additional evaluation or repeat testing may be required.