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Tell Your Anesthesiologist: Disclosure Builder

Tick what applies to you and add a few words where it helps. We'll build a clean, printable card you can hand to your anesthesia team. Your anesthetist is not the police — this is confidential, judgement-free, and it keeps you safe.

Allergies
Medicines & supplements
Alcohol, cannabis, smoking & recreational drugs

Be honest here — it's confidential and it changes your safe anesthetic. Stopping some of these suddenly can be risky, so your team needs the real picture.

Your body & past surgeries

Nothing you enter is stored, uploaded, or shared — your card is built right here on your device.

Medically reviewed by Dr. Saurabh Shukla, MBBS, DNB Anesthesiology · Last updated June 2026

Frequently asked questions

Will I get in trouble for telling them about alcohol, cannabis, or drugs?

No. Your anesthesia team are not the police, and your conversation is confidential medical care. They ask about alcohol, cannabis, vaping and recreational drugs only because these change how anesthetic drugs work and how safe your surgery is. Stopping some substances suddenly can also be dangerous, so they genuinely need to know to keep you safe — not to judge you.

Why does my anesthesiologist need to know about loose or capped teeth?

During a general anesthetic the team often places a breathing tube past your teeth. Loose, chipped, capped, crowned or veneered teeth and dental work can be damaged or dislodged. If they know in advance, they can be extra gentle and plan around it — telling them protects your teeth.

What if I or a family member had a bad reaction to anesthesia before?

This is one of the most important things to share. Some reactions, such as malignant hyperthermia, run in families and need a completely different anesthetic plan. Severe nausea after past surgery, trouble waking up, a difficult airway, or an allergic reaction all matter too. Bring any details, dates or hospital names you have.

Is anything I type here saved or sent anywhere?

No. Everything stays in your browser on this device and is used only to build your printable card. Nothing you enter is stored, uploaded, or shared. When you close the page it is gone.

Do I still need to fill in the hospital's own forms?

Yes. This card is a friendly summary to help you remember everything and start the conversation — it does not replace your hospital's pre-assessment or consent forms. Hand the card to your nurse or anesthesiologist and answer their questions honestly.