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Patient Questionnaire

Patient Questionnaire

Questionnaire will be live and available soon.....

Anaesthesia Pre-Operative Patient Questionnaire

Please complete an Anaesthesia Pre-Operative Assessment Form if you will be undergoing a procedure and consent to anaesthesia. All information is kept strictly confidential and is sought to enable the administration of the safest possible anaesthesia care to you. Please answer all questions as accurately and completely as possible.

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Complete your Anaesthesia Pre-operative Patient Questionnaire online

This online form has been designed so you can easily complete it on a mobile phone, tablet or computer. Once submitted, your form will automatically be sent to our offices. If you have additional information or documentation you would like to provide, please email this to us at office@anaesthesia-auckland.co.nz.