Please review the information below and complete the registration process.

Remember…we are here to serve you, and we want to make your surgical experience as comfortable as possible. If you have additional questions, please feel free to contact our staff at 858.268.3566.


To start the Pre-Surgical Assessment process, Coast Surgery Center requests that you fill out your medical history online with One Medical Passport. We recommend that you enter your medical history online as soon as your surgery has been scheduled.

Once you do this, our Pre-Surgical Assessment nurse will be able to access the information you entered online. This information will assist the nurse in organizing and documenting your complete medical history to prepare for your surgery.

Be sure to have the following information available before starting One Medical Passport:
• Your health insurance information.
• The names, addresses and phone numbers of your physicians.
• A list of all medications you are taking, their dosage and frequency.
• A list of surgical procedures you have ever had.
• The name of the surgeon who will be performing your upcoming procedure.

Downloadable Patient Forms and One Medical Passport Online Pre-Surgical Registration:

  • Patient Registration Packet (If you did not receive the patient registration packet from your physician please download, print, and complete the forms and bring with you on day of surgery.)
  • Create a One Medical Passport  (Shorten your admission time on the day of surgery and help us prepare for your surgery by pre-registering. Enter your medical history using our safe, secure online pre-registration form.)

Creating a One Medical Passport and the completion of the Patient Registration Packet are required before the day of your surgery.

Please bring the completed Patient Registration Forms with you on the day of your surgery.


Completing a One Medical Passport medical history online is easy. For most patients, filling out the entire questionnaire takes less than 30 minutes. Please fill out the questionnaire accurately, and be assured that all of your information is kept confidential and will be thoroughly reviewed by your medical team. At any time, you can quit filling out the questionnaire and come back and complete the unfinished portion at a more convenient time. 

One Medical Passport is a website that allows you to enter your information at any time from anywhere. You can also print out a copy of your medical history after you create it online and keep it with you or with your other health care documents, as well as have access to it online anytime you need it or want to update it.


One Medical Passport uses the highest grade of Internet security available: 128-bit encryption with SSL (secure socket layer) technology. Your information is stored on servers at a secure web hosting site and will only be released to your medical team. Your information is never released to anyone other than your medical team.