Pre-appointment Paperwork

For your convenience, and to save time in the office, a health history form is available for you to fill out before your appointment.

You can download a pre-appointment health history form and proceed in one of the following ways:

  1. Print the form, complete it by hand, and bring it to your consultation.
  3. Complete the form on your computer, print it, and bring it to your consultation.
  5. Complete the form on your computer, and email it to

Download form

COVID-19 Pre-Surgical Testing Patient Instructions

Download or Print Covid-19 Pre-Surgical Testing Patient Instructions

Will I need to be tested for COVID-19 before having elective surgery?

  • Your surgeon/physician will provide you with an order and instructions for COVID-19 testing. This will need to be completed 4 business days prior to your procedure. COVID -19 testing is only available Monday through Friday (testing is NOT available over the weekend).
  • Your surgeon/physician will set up and provide you with specific instructions on the date, time, and location of when to obtain COVID-19 testing. It is very important to arrive to this appointment on time. If it is missed, it can delay or cancel your procedure.
  • The COVID-19 testing MUST be completed before NOON on your testing date, as results are time sensitive. Test results will be sent to your surgeon/physician and anesthesia team.

After I have been tested for COVID-19, what are my instructions before my surgery?

  • Please limit your exposure risk by social distancing in public, avoiding large groups and gatherings (greater than 10 people), wearing a mask in public, washing your hands frequently, avoiding contact with a person known to be positive for COVID-19, and limiting your activities to only those that are essential, including work. If your work requires you to interact with others, please carefully follow the safety measures at your workplace, such as social distancing and use of personal protective equipment (PPE), such as mask, gloves, gowns, eye protection, etc., if applicable.
  • Avoid non-essential activities, such as social gatherings, eating in bars/restaurants, weddings, churches, public events, and unnecessary travel.
  • Non-essential traveling 14 days prior to your procedure is discouraged and may result in a delay or cancellation of your surgery/procedure. However, if you need to travel for work, please speak with your surgeon’s 0ffice/physician’s office and inform the nurse who will be contacting you for your PAT nurse interview.
  • Please notify your surgeon/physician or anesthesia team by telephone for further instructions if you develop any new symptoms including fevers, cough, shortness of breath, loss of taste or smell, sore throat, abdominal pain, diarrhea, or vomiting, OR if you have had a known exposure to anyone who is positive for COVID-19.
  • If you have any questions about these instructions and how to prepare for your upcoming surgery/procedure, please call the PAT office at 814.231.7050.

What else should I expect before my surgery?

  • You will receive a screening call from a nurse in PAT prior to your surgery. The nurse will be asking about your medical history, medications, allergies, and symptoms. Recent travel history will also be reviewed for you and those living in your household.
  • Upon arrival at the Mount Nittany Health facility on the day of your procedure, you and your visitor will be asked screening questions and have your temperatures checked.
  • To protect our patients, visitors, and staff, we are constantly monitoring the COVID-19 activity in the community and revising our visitation policy as needed. Visitors are limited, unless special circumstances exist. Please ask about our current policy when you receive your surgery and/or procedure time.

If you have any questions, please contact your surgeon.