One Medical Passport
Facility/Physician Office Information

 Select the one option that best describes your Medical Passport.

 Medical Facility
and Physician
Patients scheduled for Surgery, Pain Management Procedure/Consult, Preoperative Testing, or a Medical Procedure should choose this option.  Your information will be accessible to qualified staff of the medical facility and to your doctor.
 Physician Office
Patients scheduled for Initial Consultations or Follow Up Visits with a physician should choose this option, even if the doctor's office is in, or is associated with, a medical facility.
 Personal Use OnlyUse this option to create a Medical Passport for your own personal use. Note: You should not select this option if you are having a procedure at a medical facility.