ANAESTHETISTS

Below are documents for you to download, read, print and complete before you arrive in hospital for your operation. 

To avoid surprises, please remember to contact us for a  Quotation before you have your operation. Our account is always separate from the surgeons' and the hospitals' bill (see consent form). 

We charge private rates which your medical insurance may or may not cover in full.

If you have Gap Cover Insurance, our bill will be covered in full.

Important Patient Information
Risks, Complications and a Checklist
Patient Information 2019 Update.pdf (67.96KB)
Important Patient Information
Risks, Complications and a Checklist
Patient Information 2019 Update.pdf (67.96KB)
Royal College of Anaesthetists, UK
Patient Information Leaflet
PI-YAYA-2008.pdf (232.03KB)
Royal College of Anaesthetists, UK
Patient Information Leaflet
PI-YAYA-2008.pdf (232.03KB)


Consent for Anaesthesia
Our detailed patient consent for procedures and fees. Please print, read carefully and sign.
Consent Form.pdf (79.14KB)
Consent for Anaesthesia
Our detailed patient consent for procedures and fees. Please print, read carefully and sign.
Consent Form.pdf (79.14KB)
Blaine & Associates Patient Information Brochure
About what we do, potential risks, and a Checklist
Blaine Brochure.pdf (588.04KB)
Blaine & Associates Patient Information Brochure
About what we do, potential risks, and a Checklist
Blaine Brochure.pdf (588.04KB)
Patient details
All your details for our records. Please print and complete.
Patient Details.pdf (16KB)
Patient details
All your details for our records. Please print and complete.
Patient Details.pdf (16KB)
Medical Questionaire
Filling in this document correctly beforehand will help us provide you with the best tailored care.
Anaesthesia questionnaire 2019 update.pdf (20.75KB)
Medical Questionaire
Filling in this document correctly beforehand will help us provide you with the best tailored care.
Anaesthesia questionnaire 2019 update.pdf (20.75KB)