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Your

steps

You will be accompanied until the day of the operation to arrive in the best conditions.

My anemia

General anesthesia, Covid, local anesthesia?

Find a selection of articles, videos and quizzes to understand everything about anesthesia.



Anesthesia Information

I am completing my assessment for safe anesthesia. Have your prescriptions or other recent medical documents at your disposal.

My Questionnaire

Parameter settings, management of your file, security.

My Settings

Untreated sleep apnea is a serious complication for your operation. Click below to find out more.

Sleep apnea syndrome

Take advantage of your intervention to stop or reduce your smoking. Tabac Info Service will help you to do this free of charge.

Smoking cessation

Informed consent subtitle

Informed consent

Pay with card

✓ Medical-grade questionnaire submission

✓ 30 minutes scheduled video evaluation with one expert

✓ Receive your tailored pre-surgery care plan

Medical clearance

Pay HoopCare Medical of Florida, P.A.

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Our Al systems are already analyzing it and our clinicians will review everything in the next 24 hours. We may get back to you for further information. Your responses will help us ensure a safe and successful procedure and anesthesia.
Remember to ask any questions you may have and communicate any concerns to our healthcare team.
We look forward to seeing you on the day of your telehealth visit. For any question, you can contact us via email at contact@hoopcare.com.

Great, you completed your preoperative evaluation.

30 mins appointments

Preoperative Telehealth Visit

HoopCare Medical Florida

Please allow at least 3 days before your surgery date

If your procedure is not listed or you are not sure, use the 'Other' field. For example, you can type 'Gallbladder'.

Important: upload any recent medical notes, discharge summaries, medication lists, or blood test (less than one year old).

Wine, beer or liquor

You can add other allergies below.

With or without treatment

You can add details below.

For a prior procedure.

Artificial mechanical or biological valve.

Example of treatment: Albuterol inhaler

Claudication, blocked leg vessels, cramps preventing you from walking.

Select all answers that apply to you.

Chronic bronchitis, COPD, emphysema

With or without dialysis

Loss of consciousness without known cause

Surgery to replace heart vessels

Withdrawal symptoms such as anxiety, shaking or sweating.

One or more episodes

Click below to take a picture with your smartphone

You can change your mind later.

Convulsions, severe body tremor

Or add a recent photograph. Important for assessing the risk of intubation.

Gastric reflux or heartburn...

Count miscarriages, abortions, past or current pregnancies...

A clot in the veins or lungs.

If your procedure is not listed or if you are not sure, use the 'Other' field. For example, you can type 'Eye surgery'.

Diabetes blood test (7% for example). Click 'Skip' if you have not measured your A1c in more than a year or if you are not sure.

Spontaneously or after minor trauma

Nose bleed or minor cut requiring treatment or hospitalization

Menstrual bleeding requiring treatment with blood transfusion or medication, iron pills for example.

Excessive bleeding during or after delivery.

Hemophilia or von Willebrand disease for example.

After surgery or childbirth, for example

After a tooth extraction for example

This is for data gathering purposes only, we will not bill your insurance.

A questionnaire to measure your readiness for surgery and reduce complications. Time required: 10 minutes.

Prescriptions, blood test results, chest x-ray reports, medical notes, or any other medical information that may be relevant.

Limited mouth opening, jaw locked, cracking when opening and closing, ...

What are the results of the ultrasound:

Take a picture of the conclusion or all the pages if you don't know.

Most important: the Hemoglobin (Hb) result to detect anemia. If you don't know, take a picture of all the pages of your last lab results. Click "Skip" if you don't have recent results available.

Loud enough to be heard through a closed door or to wake up your partner because you snore at night.

Select the answers that apply to you.

Recurring headaches

Don't worry if you don't know about this disease.

If your procedure is not listed or you are not sure, use the 'Other' field. For example, you can type 'Brain surgery'.

Or that you choke/suffocate

If your procedure is not listed or you are not sure, use the 'Other' field. For example, you can type 'Uterus'.

If your procedure is not listed or you are not sure, use the 'Other' field. For example, you can type 'Hand Wound'.

Includes cannabis or other recreational drugs. Important because these can impact anesthetic drugs, particularly when currently intoxicated.

Includes all prior births (cesarean or vaginal)

If your hospital is providing that option, we'll reach out to you to confirm you eligibility within 72 hours.

If your procedure is not listed or you are not sure, use the 'Other' field. For example, you can type 'Lung surgery'.

Have you had any of these problems?

Click 'Skip' if you are not taking any medication and do not have a prescription.

You can use the "Other" field to describe other problems.

Interventions or operations with anesthesia (including sedation provided by anesthesiologists)

Problems urinating

More than 1 hour per week.

Motion sickness

Breathing problems at night

Tobacco in any form

Average number of cigarettes per day

Some details to calculate your dose of nicotine patches.

Improves healing and reduces the risk of serious complications.

Brain stroke, TIAs

Please type the name of your hospital.

(or the due date in the context of a pregnancy ?)

If you are not sure, click on the closest category and use the 'Other' field.

To the point of falling asleep at work for example.

Without being abnormally short of breath and without heart pain.

If your procedure is not listed or you are not sure, use the 'Other' field. For example, you can type 'Kidney surgery'.

What is the planned procedure?

Do you have any recent medical documents to submit?

First, let's check your age:

Do you drink alcohol?

Do you have any allergies?

Do you have dementia or Alzheimer's disease?

Problems with anesthesia?

What is the date of the appointment with the anesthesiologist?

Have you had anesthesia for any prior procedure?

What antibiotic(s) are you allergic to?

What was the reaction?

Have you had previous heart valve surgery?

Do you have asthma?

Do you wear a dental appliance (braces, retainer, dentures, etc)?

Do you have leg cramps when walking a short distance?

About your heart rate:

What is the full name of your cardiologist?

What is their phone?

About your heart:

Do you cough in the morning when you wake up?

Do you have history of chronic kidney failure?

To your knowledge, has a family member had DVT, pulmonary embolism or blood clot?

Click to save

Have you ever lost consciousness for an unknown reason?

Have you had a heart bypass surgery (CABG)?

Do you use a machine at night for sleep apnea?

Do you have one of these infections?

How is the pregnancy going?

Do you notice signs of withdrawal when you are not drinking?

Have you been treated for depression?

Transfer your electrocardiogram.

How was the epidural placement?

About the epidural:

Have you been treated for epilepsy/seizures?

Take a picture of your face (look straight at camera with mouth wide open).

Have you ever had an epidural?

Do you have any loose teeth?

Do you have stomach reflux or heartburn?

How many pregnancies in total?

Have you ever had a DVT, pulmonary embolism or blood clot?

And your height?

What is your latest hemoglobin A1c level?

Do you bruise regularly (bruises of more than 1 inch)?

Have you been evaluated for abnormal or persistent bleeding?

Have you ever had to go to a doctor for heavy menstrual bleeding?

Have you experienced heavy bleeding after childbirth?

Does a family member have a bleeding disorder?

Have you ever experienced persistent bleeding after surgery?

Have you ever had significant bleeding at your dentist's office?

How many pillows do you use for sleeping?

Please take a picture of the front and back of your health insurance card.

My medical questionnaire

Get your medical information ready.

Need to return to the previous question? Use the back button at the bottom.

Do you have jaw joint problems (TMJ or lock jaw)?

If you have already done the third trimester ultrasound:

Transfer the conclusion of your 3rd trimester ultrasound examination

Upload a picture of any recent blood lab results.

Do you snore loudly?

Are you aware of malignant hyperthermia (or severe fever) as a reaction to anesthesia in your family?

About your metabolism:

Have you been treated for a migraine?

Have you been treated for myasthenia gravis?

Has anyone noticed that you stop breathing in your sleep?

Do you consume any other substances or recreational drugs?

How many children have you given birth to?

Do you have Parkinson's disease?

If possible and if your hospital allows it, would you like a teleconsultation for anesthesia to replace the hospital appointment?

What is the planned intervention?

Is it possible that you are pregnant?

Do you have history of any postpartum complications?

What was your weight before pregnancy?

⚠ Important : Take a picture of your prescription.

During my previous pregnancies, I had...

Have you ever had surgery?

Who is your primary care provider if you have one?

Do you have prostate problems?

Do you exercise regularly?

Do you get motion sickness in a car or boat?

Do you have sleep apnea?

Are you or have you ever been a smoker?

What about your current consumption?

What is the delay until the first cigarette of the day?

How much do you smoke?

Would you like to take advantage of the intervention to stop smoking?

Have you ever had surgery on your spine?

Have you ever been treated for stomach problems?

Have you ever had a stroke?

What is the full name of your surgeon?

Where is your procedure taking place?

And the date of the procedure?

What is the side of the operation?

Select the part of the body operated on

Do you often feel tired or sleepy during the day?

Can you climb two flight of stairs?

Has any member of your family had a heart attack or stroke before the age of 55?

Do you have any of these vision problems?

And your current weight?