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Request IOM Physician Supervision
The current date and time:
Immediate On-Demand Supervision
TEXT 713.300.0195
(Monday through Thursday for start times 7 a.m. to 3 p.m. Central)
or
Schedule Online:
Please list only one surgeon per entry:
Surgeon's Name
*
🛈
Date of Surgery
*
🛈
+
Time Zone
*
🛈
Hawaii-Aleutian
Alaskan
Pacific
Mountain
Central
Eastern
Atlantic
How many cases?
*
🛈
1
2
3
4
Case 1
Pt Last Name
*
Facility
*
Start Time
*
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
Surgery
*
Levels
*
n/a
1 level
2 levels
3 levels
4 levels
5 levels
6+ levels
Resource
*
n/a
Commercial
BCBS
Medicare
Medicaid
W/C
Self-Pay
Attorney/Personal Injury
Non-Resource
Pt Info
Case 2
Pt Last Name
*
Facility
*
Start Time
*
To Follow
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
Surgery
*
Levels
*
n/a
1 level
2 levels
3 levels
4 levels
5 levels
6+ levels
Resource
*
n/a
Commercial
BCBS
Medicare
Medicaid
W/C
Self-Pay
Attorney/Personal Injury
Non-Resource
Pt Info
Case 3
Pt Last Name
*
Facility
*
Start Time
*
To Follow
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
Surgery
*
Levels
*
n/a
1 level
2 levels
3 levels
4 levels
5 levels
6+ levels
Resource
*
n/a
Commercial
BCBS
Medicare
Medicaid
W/C
Self-Pay
Attorney/Personal Injury
Non-Resource
Pt Info
Case 4
Pt Last Name
*
Facility
*
Start Time
*
To Follow
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
Surgery
*
Levels
*
n/a
1 level
2 levels
3 levels
4 levels
5 levels
6+ levels
Resource
*
n/a
Commercial
BCBS
Medicare
Medicaid
W/C
Self-Pay
Attorney/Personal Injury
Non-Resource
Pt Info
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