Skip to content
Pulse Surgery Center

Your surgery

Your printable checklist.

Print this page, fill in the blanks with the times our team gives you, and keep it somewhere you will see it.

Medical emergency? Call 911.

Questions about your procedure: 713.804.1959
25450 Kuykendahl Rd., Ste 110, Tomball, TX 77375
Suite 110, ground floor. We are in The Woodlands, close to Tomball and Spring.

My procedure

Procedure
 
Date
 
Arrival time
 
Surgeon
 
Driver's name
 
Driver's phone
 

Before I leave for the center

  • Stop eating at ____________ (time confirmed by our team)
  • Stop drinking clear liquids at ____________
  • Medications to hold: ____________________________
  • Medications to take the morning of with a sip of water: ____________________________
  • Ride home confirmed with an adult who can stay with me
  • Photo ID and insurance card packed
  • Current medication list, including vitamins and supplements
  • Inhaler, CPAP, glasses case, and hearing aid case if I use them
  • Loose, comfortable clothing and flat shoes
  • Jewelry, contact lenses, and valuables left at home
  • Someone available to receive my discharge instructions with me

If anything on this list is unclear, call us. Follow your surgeon's instructions when they differ from this page, and call us so we can confirm the details.

Back to Your surgery