Licking Memorial Health Systems - Measurably different...for your health
COVID-19 Advisory: If you have symptoms of fever, cough and shortness of breath, contact your primary care physician for guidance.
Do not visit patients at Licking Memorial Hospital if you are ill.

LMHS requires all visitors to wear a face covering when visiting any of our healthcare facilities.   Additional Details
Patients & Visitors > Before You Arrive > Pre-Registration > Pre-Operative Registration
Pre-Operative Registration
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1. Patient Information
2. Current Medications
3. Allergies
4. Previous Operations
5. General Information
In order to plan for patient care, we ask that you complete the following form prior to the date of surgery. This information will be held in strict confidence. The following form will take approximately 20-25 minutes to complete. Please click the continue button below to get started.