PRE-OP EVALUATION IN CARMEL, INDIANA
Pre-Op Evaluation in Carmel, IN
By appointment. Physician-supervised. Paperwork completed for your surgeon when requirements are available.
Your surgery is scheduled. Your surgeon needs a pre-op exam, an EKG, or specific paperwork before the date. A Monarch physician completes the evaluation, runs the requested tests, and sends documentation back to your surgeon — so the surgical and anesthesia team can review it before your procedure.
Call (317) 804-4203 to Schedule
Book Online
Bring your surgeon's form. We need to know what your surgeon requires before we can complete the paperwork.
By Appointment
Call ahead so we can review your surgeon's form
$215.60 Self-Pay
Pre-op physical with H&P. Insurance also accepted.
Physician-Led
A Monarch physician performs the evaluation
EKG & Labs Available
When your surgeon requires them
WHAT WE DO
What a Pre-Op Evaluation Includes
A Monarch physician performs the pre-op evaluation based on your health history, physical exam, current medications, surgical form, and any tests requested by your surgeon. We complete the documentation and send it back so your surgical and anesthesia team can review it before your procedure.
History & Exam
- ✓ Focused medical history
- ✓ Cardiac and pulmonary review
- ✓ Current medications and allergies
- ✓ Functional capacity assessment
- ✓ Physical examination
- ✓ Surgical risk factors review
Testing When Required
- ✓ EKG (when surgeon requests)
- ✓ Blood draw — sample sent to LabCorp
- ✓ X-ray (when surgeon requests)
- ✓ Pregnancy test (when clinically relevant)
- ✓ Urinalysis (when clinically relevant)
Documentation Sent to Surgeon
- ✓ History & Physical (H&P) report
- ✓ Surgeon's pre-op form completed
- ✓ EKG tracing and physician interpretation
- ✓ Lab results when available
- ✓ Sent via fax or secure document delivery
If your surgeon calls it “surgical clearance,” that is the same workflow. Monarch performs the evaluation and provides the documentation; your surgeon and anesthesia team make the final decision about proceeding with surgery.
WHEN MONARCH IS NOT THE RIGHT PLACE
We Tell You What We Don't Do
Pre-op evaluation at Monarch is appropriate for many outpatient and routine surgeries. Some situations need cardiology, anesthesia-led evaluation, or ER-level care. Honest framing first:
Cardiac clearance → If your surgeon specifically requires cardiology clearance, stress testing, echocardiogram interpretation, or management of complex heart disease, you may need a cardiologist.
High-risk surgery or unstable symptoms → Chest pain, severe shortness of breath, fainting, new neurologic symptoms, uncontrolled blood pressure, or symptoms suggesting an emergency should be evaluated in the ER or by the appropriate specialist.
Complex anesthesia concerns → Prior anesthesia complications, severe sleep apnea, complex airway history, significant heart or lung disease, or major inpatient surgery may require anesthesia-directed evaluation through your surgeon's system.
Missing surgeon requirements → Bring the surgeon's form. We need to know what exam, labs, EKG, or documentation the surgeon requires before we can complete the paperwork. Without the form, we cannot guarantee the evaluation will meet your surgeon's requirements.
If you are unsure whether Monarch is the right place for your specific pre-op needs, call us at (317) 804-4203 with your surgery details and we will tell you honestly.
FROM DR. CLAY
Why a Pre-Op Visit Matters
A pre-op visit is not paperwork. It is a checkpoint. Your surgeon needs to know your medical history, your medications, your heart and lung status, and how you have done with anesthesia before. The exam, the labs, and the EKG are how we make sure your surgical and anesthesia team has what they need.
A Monarch physician performs the evaluation, completes the documentation, and sends it back to your surgeon. We do not clear you for surgery — that decision belongs to your surgeon and anesthesia team. We make sure they have what they need to make it.
If something we find during the evaluation needs cardiology, pulmonology, or anesthesia-directed review, we tell you, document it, and let your surgeon know so they can route you to the right specialist before surgery.
WHY CHOOSE MONARCH MEDICINE
Pre-Op Evaluation at Monarch Medicine vs. Larger Health Systems
Monarch Medicine Urgent Care
- Appointments available — call (317) 804-4203
- Board-certified physician performs every evaluation
- EKG, X-ray, and blood draw on-site
- Physical exam completed same visit
- Results faxed to surgeon — patient has MyChart access
- Self-pay $215.60 — no surprise bills
- Average wait under 25 minutes
$215.60 self-pay · Call to schedule
Larger Health Systems
- Appointments may require days or weeks of lead time
- Testing may require separate scheduling visits
- Documentation turnaround varies by system
- Multiple calls may be needed to coordinate with surgeon
- Insurance billing with potential copay or deductible
- Longer average wait times
Varies by system — may involve multiple visits
Ready to schedule your pre-op evaluation? Call (317) 804-4203 — we'll get you on the schedule quickly.
HOW IT WORKS
From Phone Call to Surgeon's Desk
Call to Schedule
Call (317) 804-4203 with your surgery date, surgeon's name, procedure, and what your surgeon requires.
Bring the Form
Bring your surgeon's pre-op form, current medication list, and a list of allergies and prior surgeries.
History & Exam
A Monarch physician performs the history, physical exam, and reviews your medications and surgical risk factors.
Tests If Required
EKG, blood draw, or X-ray completed during your visit when your surgeon requires them.
Sent to Surgeon
H&P, completed form, and EKG sent back to your surgeon. Lab results follow when available.
Before your appointment, please tell us: your surgery date, your surgeon's name and office, the procedure planned, and whether your surgeon requires EKG, blood work, or any specific forms.
COMMON PRE-OP REFERRALS
Pre-Op for Common Outpatient Procedures
Patients are referred to Monarch for pre-op evaluation before a wide range of outpatient and ambulatory procedures. Bring your surgeon's form so we can match the evaluation to what is required.
Dental & Oral Surgery
Pre-op physical and required documentation for dental implants, wisdom teeth removal, and other surgical dental procedures.
Ophthalmology & Cataract
Pre-op physical with EKG and labs when required for cataract or other ophthalmologic procedures.
GI & Endoscopy
Pre-op evaluation for colonoscopy, EGD, and other ambulatory GI procedures.
Orthopedic & Spine
Pre-op physical and required testing for outpatient orthopedic and spine procedures.
Outpatient General Surgery
Pre-op evaluation for hernia repair, biopsy, lumpectomy, and other ambulatory general surgery.
Other Outpatient Procedures
Many ambulatory and surgery-center procedures require an H&P within 30 days of surgery. Bring your surgeon's form and we will complete what is required.
WHAT TO EXPECT
Your Pre-Op Evaluation in 4 Steps
1
Call to Schedule
Call (317) 804-4203 to schedule your appointment. Bring your surgeon's pre-op form and a list of current medications. Tell us what testing your surgeon has ordered.
2
Physician Evaluation
Dr. Clay performs a complete history and physical, reviews your medications and conditions, and completes your surgeon's pre-op form. EKG performed same visit if ordered.
3
Testing If Ordered
Blood draw completed same visit — LabCorp processes results in 1–3 business days. X-ray results up to 4 days. You may use your own lab provider.
4
Results Sent to Surgeon
Once all results are available, we fax documentation directly to your surgeon's office. You receive access to your results through MyChart. Bring your surgeon's fax number to your appointment.
TRANSPARENT PRICING
Clear Pre-Op Pricing
How pre-op pricing works: The pre-op physical fee covers the physician evaluation, history and physical exam, and completion of your surgeon's form. Additional testing — EKG, X-ray, blood draw — is added when your surgeon requires it. Lab work sent to LabCorp is billed by LabCorp separately. We review the expected total with you before testing begins. HSA and FSA accepted.
Self-Pay Pricing
| Pre-op physical (H&P, exam, surgeon's form) | $215.60 |
| EKG (no cardiologist read) | $52.50 |
| X-ray with radiologist read (each) | $157.50 |
| Blood draw fee (LabCorp bills lab cost separately) | $8.40 |
| Urinalysis (when relevant) | $31.50 |
For Insured Patients
We are in network with Anthem BCBS, United Healthcare, Aetna, Cigna, and Encore/IU Health Plans. We are NOT in network with Medicaid or Humana. Coverage may apply to pre-op evaluations, depending on your plan, deductible, benefits, and your surgeon's network status.
WHY PATIENTS CHOOSE MONARCH
Why Patients Choose Monarch for Pre-Op Evaluation
Appointment-Based Visit
A scheduled time means we have your surgeon's form ready before you arrive and can plan the visit around what your surgeon requires.
Physician-Supervised Evaluation
A Monarch physician performs the history, exam, and risk-factor review.
Transparent Self-Pay Price
$215.60 for the pre-op physical. Additional testing priced clearly. Insurance also accepted.
EKG & Blood Draw Available
Same-visit EKG and blood draw when your surgeon requires them. Labs sent to LabCorp.
Documentation Sent Back
H&P, completed form, and EKG documentation sent back to your surgeon's office.
Honest About Scope
If your situation needs cardiology or anesthesia-led evaluation, we tell you that and document it for your surgeon.
COME PREPARED
What to Bring to Your Appointment
Required at Your Visit
- ✓ Your surgeon's pre-op evaluation form
- ✓ List of current medications and dosages
- ✓ List of known allergies
- ✓ Any recent lab work or specialist notes
- ✓ Government-issued photo ID
For Results to Reach Your Surgeon
- ✓ Your surgeon's office fax number
- ✓ Name of your surgeon or surgical center
- ✓ Your scheduled surgery date
We fax directly to your surgeon at no extra charge. You receive access to all results through MyChart.
What Happens If Findings Are Noted
If Dr. Clay identifies a medical condition that may be relevant to your procedure — such as elevated blood pressure, an EKG finding, or an unmanaged condition — this will be thoroughly documented in your evaluation. Your surgical team will be notified. Depending on the finding, specialist follow-up may be recommended before your surgery proceeds. The evaluation fee applies regardless of outcome. Our goal is always to help you reach surgery safely and with complete information.
Also at Monarch Medicine — Self-Pay Services
Many pre-op patients also use our TB testing, walk-in X-ray, and transparent self-pay pricing for additional care before or after surgery. All services available same day for qualifying services.
FREQUENTLY ASKED QUESTIONS
Pre-Op Evaluation FAQ
Do I need an appointment?
Yes. Pre-op visits are appointment-based, not walk-in. Call (317) 804-4203 with your surgery date, surgeon's name, procedure, and your surgeon's requirements so we can plan the visit.
What should I bring?
Bring your surgeon's pre-op form, a current list of your medications, your allergies, prior surgeries, and any test results your surgeon's office has already shared with you. The form is what tells us what your surgeon requires.
Does Monarch “clear” me for surgery?
A Monarch physician performs your pre-op evaluation, completes the documentation, and sends it to your surgeon. Your surgeon and anesthesia team make the final decision about proceeding with surgery based on the evaluation, your medical history, and the procedure planned. Some surgeons call this workflow “surgical clearance” — the process is the same.
Can you do an EKG and blood draw at the visit?
Yes, when your surgeon requires them. EKG is performed in our office. Blood draw is collected at our office and sent to LabCorp; LabCorp bills the lab cost separately, and results often return in 1 to 3 days but timing can vary.
How does the surgeon get the results?
Your H&P, the completed surgeon's form, and the EKG (if performed) are sent back to your surgeon's office by fax or secure document delivery. Lab results follow when LabCorp returns them.
What if you find something concerning during the evaluation?
If the evaluation suggests cardiology, pulmonology, or anesthesia-directed review is needed, a Monarch physician will discuss it with you, document it, and notify your surgeon so they can decide next steps before surgery. We do not delay your surgery decision — that is your surgeon's call — but we make sure they have the right information.
Does Monarch do cardiology clearance?
No. If your surgeon specifically requires cardiology clearance, stress testing, echocardiogram interpretation, or management of complex heart disease, you may need a cardiologist. We can perform the standard pre-op physical and EKG, but cardiac clearance is a different scope of evaluation.
Do you accept insurance?
We are in network with Anthem BCBS, United Healthcare, Aetna, Cigna, and Encore/IU Health Plans. We are NOT in network with Medicaid or Humana. Coverage may apply to pre-op evaluations, depending on your plan, deductible, benefits, and your surgeon's network status. Self-pay is also available at $215.60 for the pre-op physical. HSA and FSA accepted.
When should I schedule my pre-op visit?
Most surgeons require an H&P completed within 30 days of surgery. Schedule your pre-op visit at least 1 to 2 weeks before your surgery date so there is time to send results and accommodate any additional testing your surgeon requests.
WHAT PATIENTS SAY
Read What Carmel Patients Say About Monarch
Real reviews from real patients, pulled directly from Google. We have earned a 5.0 rating across more than 170 reviews.
Schedule Your Pre-Op Evaluation Today
Have your surgery date, surgeon's name, and procedure ready when you call. Bring your surgeon's form to the visit.
Call (317) 804-4203 to Schedule
Book Online
Mon–Fri 8am–6pm · Sat–Sun 9am–12pm
90 Executive Drive, Suite A & B, Carmel, IN 46032
How This Page Is Reviewed
This page was medically reviewed by Dr. Lisa Clay, MD — Founder and Medical Director of Monarch Medicine Urgent Care. Pre-op evaluation guidelines, testing requirements, and pricing change over time. The pre-op evaluation is performed by a Monarch physician based on your specific medical history and your surgeon's requirements; the surgeon and anesthesia team make the final decision about proceeding with surgery. LabCorp billing for any lab work is independent of our in-office charges. Last reviewed: May 2026.
Medically reviewed by Dr. Lisa Clay, MD
— Founder & Medical Director, Monarch Medicine Urgent Care. Last reviewed: May 2026.
Pre-op evaluation and documentation at Monarch Medicine Urgent Care are provided by physician-led clinical staff under the supervision of Dr. Lisa Clay, MD. This content is informational and is not a substitute for individual medical advice or care. The pre-op evaluation is performed by a Monarch physician based on your specific situation; the final decision about proceeding with surgery is made by your surgeon and anesthesia team. For severe or emergent symptoms, call 911 or go to the nearest emergency room. Insurance coverage and self-pay rates are accurate as of the page's last review date and may change. LabCorp bills lab work independently.