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Pediatric Surgery »  Patient Center »  Clinic Appointment & Required Forms »  Your First Visit

Your First Visit

Patient 3 (smirking in car seat)Thank you for choosing Bay Area Pediatric Surgeons. We are available to meet with you and your family for a surgical consultation during office hours, by appointment. During this consultation, we will examine your child, review relevant radiologic studies, discuss surgical options, and answer any questions you may have. Together, we will develop an individualized plan to meet the needs of your child.

What to bring to your appointment

It is important that you bring the following with you when you come to see us for your child's appointment:

  • A CD or flash drive with all your medical imaging studies that were done at an outside facility (X-Ray, Ultrasound, CT scan, MRI with the dictated report). Please bring in by hand. Do not send by mail. 
  • A list of your child's current medications and the dosages your child is taking. You may bring the bottles or containers with you to your first appointment.
  • The name, address and telephone number of your physician who referred your child and your primary care provider if they are different.
  • Your child's health insurance card and Medicare/Medi-Cal card (if applicable).
  • Any additional documents you were asked to bring with you. 
  • The adult bringing in the child must have a photo ID.

Forms and Paperwork

You will be given the following upon arrival:

  • Patient Detail Information Record - Name, address, contact information, insurance info, etc.
  • List of current medications
  • Notice of Privacy Practices Acknowledgement of Receipt - signed to acknowledge receipt of the Notice of Privacy Practices [PDF]
  • Terms and Conditions of Service: Admission, Medical Services, and Financial Agreement
  • Life Clinic Forms:
    • Photography consent
    • Consent to release outside records to UCSF
    • Consent to participate in the quality of life survey

Scheduling your surgery

If you and the surgeon have decided to proceed with surgery, you will need to speak with our surgery scheduler, Brian Forman at (415) 476-2539. Brian will provide you with the location, date and time for the surgery as well as pre-operative fasting instructions.

Asking The Right Questions

You are an important part of your child's healthcare team. You'll want as much information as possible to help your child. Here are some of the questions you may want to ask, along with space to write down answers. We have prepared a pdf of these questions so you can take it with you to your child's appointment.

  • Are there any alternatives to surgery?
  • What results do you expect? What will the surgery accomplish?
  • What are the possible risks and complications?
  • How long will the surgery take?
  • What type of anesthesia will my son or daughter need? Will they have an exclusively pediatric anesthesia specialist?
  • Will my child have to stay in the hospital and for how long? 
  • Will my child have any pain, and what kind of medicine will you give him or her for it? 
  • Will my child require a blood transfusion? Can a family member donate? 
  • What will the incision look like and will I need to change dressings? Will there be scarring? 
  • How soon can my child bathe or shower? 
  • Will my child require antibiotics or other medications after surgery?
  • What postoperative care will he or she need? 
  • Do I need to come back to the clinic for an appointment or can I talk with the nurse on the phone? 
  • When can my child resume normal activities and/or return to school?
  • Does insurance typically cover this type of surgery? Is there someone in your office who can help me with insurance issues?


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