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?

  • Yes. Your surgeon will give you an order and instructions for COVID-19 nasal swabbing. This will need to be done 3 business days before your procedure. COVID-19 testing is only available Monday through Friday (testing is NOT available over the weekend). 
  • Your surgeon will set up and give you specific instructions on the date, time, and location of when to have nasal swabbing. 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 and anesthesia team.

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

  • Please limit your exposure by social distancing in public, 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 at bars/restaurants, public events, and unnecessary travel.
  • Please notify your surgeon or anesthesia team if you develop any new symptoms including fevers, cough, shortness of breath, loss of taste or smell, sore throat, abdominal pain, diarrhea, or vomiting.
  • If you have any questions about these instructions and how to prepare for your upcoming procedure/surgery, please call the PAT office at 814.231.7050. 

What else should I expect before my surgery?

  • You will receive a screening call the day before your surgery. The nurse will ask about any symptoms and travel history for you and those in your household. Please tell the nurse at this time if you will need help getting from your car into the hospital (for example a wheelchair).
  • Upon arrival at the Mount Nittany Health facility on the day of your surgery, you will be asked screening questions and have your temperatures checked.
  • Visitor restrictions are currently in place. Visitors are not permitted, unless special circumstances exist. Please provide staff with a phone number to contact your driver and/or emergency contact person. Staff and surgeons will notify them with any updates.

If you have any questions, please contact your surgeon.