It is important to do a thorough medical history review for every patient in order to prevent a medical emergency. Some conditions require medical consultation before any invasive procedures can be performed. This includes diabetes, high blood pressure, and heart conditions. We have the patient fill out a medical clearance form and then we fax it to their physician. Once the physician returns the medical clearance we then know how we can proceed with treatment. This is important to protect the patient and protect against infective endocarditis.Â