PDF
Word
Optional Form 522 Medical Record - Request for Administration of Anesthesia and Performance of Operations and Other Procedures
What Is Optional Form 522?
This is a legal form that was released by the U.S. General Services Administration on August 1, 2003 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 522?A: Form 522 is a medical record form.
Q: What is the purpose of Form 522?A: Form 522 is used to request the administration of anesthesia and performance of operations or other procedures.
Q: Who uses Form 522?A: Form 522 is used by healthcare professionals and patients.
Q: What information does Form 522 require?A: Form 522 requires information about the patient's medical condition, the proposed procedure, and any previous anesthesia experiences.
Q: Is Form 522 mandatory?A: The use of Form 522 may be required by healthcare providers or facilities.
Form Details:
- Released on August 1, 2003;
- The latest available edition released by the U.S. General Services Administration;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Optional Form 522 by clicking the link below or browse more documents and templates provided by the U.S. General Services Administration.
