Patient Information & Forms

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Patient Information

The following documents provide more detailed information about the Nuss procedure, patient rights and our privacy practice. Adobe Acrobat Reader viewer may be required to view these files. To download the latest version click on the icon below.

Patient Evaluation Guidelines
Insurance Information
Your Child's Visit
Brief Overview of Pectus Excavatum
What to Expect About the Surgery
Pain Relief After Surgery
Discharge Instructions
Bar Removal Procedure
Notice of Privacy Practice
HIPAA Information

Forms

Please click print and complete these forms prior to your appointment. You may fax or mail these documents to Tina Haney prior to your appointment:

Attn: Tina (Gustin) Haney, RN, MSN
Children's Hospital of The King's Daughters
Pediatric Surgery, Suite 5B
601 Children's Lane
Norfolk, VA 23507
Fax: (757) 668-8860

Pectus Excavatum Patient Evaluation
Registration Form
Patient Questionnaire
HIPAA Consent/Acknowledgement Form