This pre-surgery questionnaire has to be filled by all patients who have operations scheduled at the Akromion SH. The questionnaire is formed in a way to help us provide the best possible care, before, during and after your stay in the hospital.

It is important to fill out all the parts of the questionnaire. All the information collected by this questionnaire will be used for your safety only, and will be considered confidential. We are kindly asking you to fill out this questionnaire as soon as possible and send it to or fax number: +385 49 587 488.

Please indicate in the e-mail subject line the full name of the patient

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