02 Your procedure What is going on, and for how long *
What hurts, when it started, what makes it worse, and what you have already tried.
Send DICOM files if you have them
DICOM is the format medical imaging is stored in — it carries the measurements and scan
settings, not just a picture. It lets the surgeon measure and analyse properly rather
than estimate from a photograph of a screen.
Files too large to attach here? Send them to
contact@orthopedicsurgeriesmexico.com or over
WhatsApp , with your name.
04 Medication and lifestyle Medication you take *
Everything, including supplements, and the dose if you know it. Write "none" if that is
the case. Blood thinners matter most — say so clearly if you take one.
Allergies *
Medication, latex, anesthetic, iodine, adhesives. Write "none" if you have none.
Ongoing treatment or therapy Physical therapy, injections, or treatment for another condition.
Do you smoke? *
Smoking slows bone and wound healing measurably. We ask so your surgeon can plan for
it, not to lecture you.
Do you drink alcohol? *
Do you use recreational drugs? *
This affects anesthesia and pain control. It stays between you and the medical team.
How active are you? *
What you do now, what you did before the problem started, and what you want to get back
to. This shapes the rehabilitation plan.
05 Your reasons How long have you been considering this surgery? *
Why do you want this surgery? *
What you cannot do now that you want to do again. Be concrete — it is what your surgeon
measures the result against.
Have you consulted an orthopedic surgeon before? *
When, where, and what they told you. If you were turned down for surgery, say so — it
is useful information, not a disqualification.
Why did you choose OSM?
Anything else we should know
06 Confirm and sign
Take a moment to look back over your answers before sending. A missing detail usually
means another exchange of emails and a delayed quote.
I authorise Orthopedic Surgeries Mexico, and anyone it designates, to request medical
information about me where it is needed to complete this health questionnaire. That
may include history and physical examinations, discharge summaries, consultation
reports, and laboratory and imaging studies.
I certify that the information above is true and complete, and that I have not left
anything out or misrepresented my health. I understand that a false statement about
my medical history may lead to my surgery being cancelled, and that I would be
responsible for the costs incurred.
Your answers go to the OSM medical team and to the surgeon assessing your case. They are
not used for anything else and they are not shared with third parties. Ask us to delete
them at any time at contact@orthopedicsurgeriesmexico.com .
Send my pre-consultation form
