Pre-anaesthetic assessment

This pre-anaesthetic assessment is important because it allows the risks associated with the procedure to be evaluated. This assessment, the risks linked to a procedure and your general state of health determine whether you need to see a doctor.

On this page

Preparation
Gasthuisberg campus

Attend the preoperative consultation at least one week before your procedure or examination.

Preparation

Questionnaire and consent form

You can prepare for your consultation with the doctor by going through the following questionnaires in advance.

PDF

Preoperative adult questionnaire
PDF - 321 Kb (Also in: NL / FR)
PDF

Preoperative child questionnaire
PDF - 266.97 Kb (Also in: NL / FR)

What to bring?

Completed preoperative questionnaire and consent form
List of the medication you take at home. Use this overview list (pdf) for this.

If applicable:

Results of recent blood tests
Reports of examinations performed by your cardiologist or pulmonologist
Blood group card

Gasthuisberg campus

+32 16 34 48 13 - weekdays from 08:00 to 17:00
View and manage your appointments via mynexuzhealth.

UZ Leuven gasthuisberg campus

Raadpleging 6

Herestraat 49

3000 Leuven

Directions and services

Monday	08:00 - 19:00 ***
Tuesday	08:00 - 19:00 ***
Wednesday	08:00 - 19:00 ***
Thursday	08:00 - 19:00 ***
Friday	08:00 - 18:00 ***

During these hours you will be assisted under the supervision of:

Vandermeulen Erik

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Last edit: 21 november 2025