Fig. 1. The preoperative evaluation form. A question answered by the patient is copied to the form that instructs which laboratory tests should be ordered and if the patient requires an evaluation in the anesthesiology clinic. For example, this 75-yr-old patient answered “yes” to questions 1A and B; therefore, the order form indicated the need for electrocardiography and a preoperative evaluation. This patient also answered “yes” to question 5C, which requests a chest roentgenogram and a preoperative clinic visit.