In order to provide the best care and avoid any last-minute cancellations, we require a medical history questionnaire to be completed. This is available online for your convenience and must be completed at least 24 to 48 hours prior to your scheduled surgical date.


  • Please complete all sections
  • If a section does not apply, please select the check box for “No Issues”
  • Be sure to include your complete medical history including current conditions, prescription and over-the-counter medications (past and present), past medical conditions/surgeries

Upon receipt, someone from our team will call you regarding your appointment.

What You Will Need:

  • List of all medications
  • List of allergies and sensitivities
  • Name and date of previous surgeries
  • Your medical history

Pre-Operative Checklist

  • Attend all recommended/required medical appointments, including any pre-operative testing, if necessary
  • Fill prescriptions from your surgeon
  • Confirm your ride home from the surgery center. You must have a responsible adult to take you home and care for you 24 hours after your surgery. We do not permit patients to go home via public transportation (bus, Uber, Lyft, etc). If you do not have a ride and caretaker, your surgery will be canceled.

Day Before Surgery

Food and Drink Instructions

  • No solid food, milk products, or alcohol after midnight
  • No gum or hard candy

Tobacco and Marijuana Products

  • No tobacco products – cigarettes, dip, chew, vaping, marijuana, e-cigs day of surgery
  • No marijuana products for 24 hours before or after surgery

Responsible Adult

You must have someone here with you on the day of surgery. The person taking you home must meet the following requirements:

  • At least 18 years old
  • This person must be available by phone while you have your surgery
  • Your responsible adult will be required to sign your discharge instructions, they will be in writing for you as well
  • They must drive you home

If You Are Diabetic

Check your blood sugar at home before coming in for surgery. If your blood sugar is less than 80 or more than 250, please call us at 934-223-4500

Other Instructions

  • Please notify your surgeon if you develop a fever or respiratory infection prior to your surgery
  • Please be careful to keep your surgery site free of blisters, bites, cuts, etc.
  • Please do not bring children to the surgery center as they will not be admitted to any clinical area, and children are not allowed to be unattended in the waiting area
  • Wear comfortable, loose-fitting clothing
  • For shoulders or hand surgery, wear a button-up shirt
  • Instructions personalized for you will be provided at the time of discharge

Day of Surgery

  • Report to the surgery center approximately 1½ hours prior to your scheduled surgery time (our pre-operative nurse will confirm the time the day before surgery)
  • Arrive promptly at the time instructed during your pre-op phone call as this will allow adequate time for all necessary admission procedures
  • Please bring your insurance ID cards and photo ID. If special financial arrangements are necessary, please call The Center for Advanced Spine & Joint Surgery prior to admission
  • Leave jewelry and all valuables at home
  • Remove body piercing jewelry and no false eyelashes
  • Upon arrival, you will change into a hospital gown and slippers, which we provide. You will be asked to remove contact lenses, dentures, and any prosthesis. No cell phones are permitted in the patient care areas
  • Be sure to bring any paperwork your doctor gave you such as test results or your medical history and a list of medications

Day After Surgery

  • It is perfectly normal to feel discomfort in the area of the surgery. You may also experience some drowsiness or dizziness depending on the kind of anesthesia you received
  • Your surgeon will provide specific instructions for care while recovering at home. In the event of difficulty, please call your surgeon
  • For the first 24 hours following surgery, do not engage in strenuous activities, do not drink alcoholic beverages, drive or make any important decisions
  • You will be asked to complete a questionnaire about the care you received. Your comments will enable us to continue to improve our services


You will probably have some pain after your surgery. We will help manage this by using a combination of ice, nerve blocks, anti-inflammatories, and pain medication. It’s important that you take your medications exactly as you are instructed. If your pain is not controlled, please notify your surgeon.

Post-Op Nausea and Vomiting (PONV)

Depending on your risk factors and type of surgery, we will be using medications and a variety of anesthesia techniques to minimize PONV. If you have a history of PONV in the past, we may prescribe medication to be taken prior to arriving at the surgery center.


There should not be excessive bleeding after your surgery. A small amount of blood on your dressing is normal. If you have excessive bleeding after your surgery, call your surgeon immediately, or go to the nearest Emergency Department.


Infection is a possible but unexpected complication after surgery. Signs of possible infection include:

  • Temperature greater than 101
  • Swelling, warmth, or redness at the surgical site
  • Drainage at the surgical site

Anticipating surgery can be stressful and part of the anxiety can arise out of not fully understanding out-of-pocket expenses associated with a proposed surgery. At The Center for Advanced Spine & Joint Surgery, we believe it is important to make patients aware of their potential financial expense prior to their procedure.

One of our insurance verification specialists will contact you if there is an anticipated out-of-pocket expense associated with your planned procedure. Please realize charges for your procedure at The Center for Advanced Spine & Joint Surgery are separate from your surgeon’s charge as well as any anesthesiologist* and/or pathologist charges which may be incurred.

If your procedure is not covered by insurance, full payment is required at the time of service unless other arrangements are made in advance.

Patients – or their legal guardians – are ultimately responsible for payment of facility services at The Center for Advanced Spine & Joint Surgery. As a courtesy, The Center for Advanced Spine & Joint Surgery will bill your primary and secondary insurance carriers for you. Please bring your insurance cards with you on the day of surgery. We are required to collect all co-payments from our patients and we will call you to discuss any patient responsibility related to your co-payments. Such co-payments may include deductibles, co-insurance, or any non-covered items identified by your insurance plan.

The Center for Advanced Spine & Joint Surgery accepts cash, checks, any major credit card, a Flexible Spending Account (FSA), or a Health Savings Account (HSA) as a financing option. Feel free to contact our business office at 934-223-4500 Monday through Friday 8:30 AM to 4:00 PM with questions regarding your billing or insurance information. We will be happy to assist you.

*Anesthesia services at The Center for Advanced Spine & Joint Surgery is provided by Long Island Anesthesia Physicians. Questions concerning their fees should be directed to their billing service at 1-866-787-4426 ext. 115 or visit

One of our insurance verification specialists will contact you if there is an anticipated out of pocket expense associated with your planned procedure. Please realize charges for your procedure at The Center for Advanced Spine & Joint Surgery are separate from your surgeon’s charge as well as any anesthesiologist* and/or pathologist charges which may be incurred.


The estimated rate amount for out-of-network services is available upon your request. You may be responsible for co-insurance and deductibles not covered by your insurer. Please note that such estimates cannot account for unforeseen medical circumstances that may arise while the services are performed.


The Center’s business office staff may contact you to verify your insurance and identify any out of pocket expense you may have. If you do not receive a call before noon the day prior to your procedure, please contact the office at 1-866-787-4426 ext. 115. This is also the number to call for all billing questions related to your surgical services at the surgery center.