Facility/Physician Office Information
Select the one option that best describes your Medical Passport.
Patients scheduled for
Surgery, Pain Management Procedure/Consult, Preoperative Testing,
should choose this option. Your information will be accessible to qualified staff of the medical facility and to your doctor.
Personal Use Only
Use 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.
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