This form is intended for independent offices' pre-op surgical orders. Second Sign allows nurse delegates to enter pre op orders using the Epic "Second Sign" process. Nurse delegates can enter orders for the physician, but they are not viewable by anyone and cannot be acted upon until the physician signs them from his/her inbox.

Please complete the form and fax to: 
Pamela Zoucha
Medical Education
Fax: 402-590-2067

Questions? Call 402-715-4785