Gary W Gomez
Construction
Glendale ,AZ
Overview
34
34
years of professional experience
Work History
Cement Mason
McCarthy Building Companies
01.1990 - 08.2023
- Orchestrated concrete finishing operations, guaranteeing high-quality results and specification compliance.
- Oversaw mason teams, supporting skill growth and rigorous safety protocol adherence.
- Introduced efficient strategies that notably decreased project timelines.
- Worked with project managers to assess site conditions for strategic material application.
Education
High School Diploma -
John Jenkins
Santa Paula, CA06.1987
Skills
Concrete finishing
Surgery Preparation Checklist
- Patient Name: GARY GOMEZ DOB: 1968-01-02
- Date of Surgery: 2025-07-25 Tentative Check In Time: 10:00AM
- Surgery check in times are subject to change up until the day before surgery. You must call at least 1 business day prior to your surgery to confirm your final check-in. Your ride must be prepared for changes. Please note that check-in times can drastically change from your tentative check-in time due to cancellations, equipment needs, tech schedules, etc. If we are unable to successfully reach you within 5 business days of surgery, then your surgery will be cancelled. You may be subject to the cancellation fee.
- Banner Estrella Medical Center,9201 W Thomas Phoenix, AZ 85037, P: (623) 327-4000
- Facility: ___________________________________________
- Physician: PRABHAKAR PANDEY MD
- Amanda Seimears, P: (623) 512-4390 ext 2009, F: (623) 248-7259, amanda.seimears@arizona-urology.com
- Surgery Scheduler: ___________________________________________
- Procedure: CYSTOSCOPY, LEFT RETROGRADE PYELOGRAM, LEFT URETERAL STENT REMOVAL
- Patient To Complete
- In order to prepare you for your upcoming surgery, please complete the necessary preoperative testing checked off below. If there is not any testing checked off, then we have the most recent copy of your testing, and you will not need to do any further testing. Failure to comply with these instructions will lead to a delay and/or cancellation of your surgery. Most facilities want labs to be within 30 days of the day of surgery. If you have recently had any of the labs checked off below completed within 30 days of surgery, please have a copy sent to your surgery scheduler listed above. Some instances may occur where testing can be done day of surgery.
- Pre-Operative Testing: CBC BMP PT/PTT UA w/ reflex to culture
- Type & Cross Type & Screen EKG Other: __________________________
- LABS WILL BE COMPLETED DAY OF SURGERY AT BANNER
- Note to patient: ___________________________________________
- Clearance for Surgery: ___________________________________________
- If our Physician orders a clearance a separate form will be included with this surgery preparation checklist. The clearance request form must be taken to the clearing Physician by the patient or patient’s representative. Please make sure a copy of your clearance and pre-operative testing if applicable is faxed to our office after your visit.
- A clearance form is only needed if indicated above unless you take a prescribed blood thinner such as:
- Pradaxa Warfarin Coumadin Jantoven Plavix Clopidigrel Eliquis Apixaban Xarelto Rivaroxaban etc.
- The Physician that prescribes the blood thinner will need to clear the patient for surgery and will need to inform patient on when blood thinner should be stopped prior to surgery. Please inform our office if you need the clearance request form if you take a prescribed blood thinner.
- Pre-Operative Instructions
- You may not eat or drink 8 hours prior to your surgery.
- You must have a ride, someone you know over the age of 18, to drive you home after surgery. If you are taking a cab, Uber, Lyft or any other form of transportation then someone you know over the age of 18 must be with you to escort you home. Most facilities will ask that someone is with you up to 24 hours post discharge for outpatient surgeries.
- The following medications should be stopped 7 days prior to surgery include but are not limited to the following:
- Aspirin Advil Aleve Ibuprofen Bufferin Motrin Naprosyn Naproxen Excedrin Fish Oil Vitamin E Mutli Vitamins Omega 3 Ginkgo Biloba Ozempic Wegovy Monjauro Rybelsus Semaglutide Trulicity Dulaglutide Victoza Saxenda Liraglutide Adlyxin Byetta Bydureon Exenatide Lixisenatide
- Please call our office with questions on any medication you want to know if you should stop.
- If you have any other special needs that are required, please inform our office and the hospital/surgery center prior to surgery.
- Additional notes to patient: ___________________________________________
- Financial Information
- We have obtained your surgical benefits from your insurance company. The amount below represents your surgical co-pay, deductible or co-insurance. The amount is due at least 2 weeks prior to surgery and payment plans are available for Arizona Urology. Please contact our office to discuss details regarding payment plan options. The amount below is the estimate for the Physician fees only. We do not estimate for the facility or anesthesia. You will need to contact the facility to inquire about any facility or anesthesia fees.
- Surgery Estimate: $200 Account Balance: $94.74
- Your surgery can be cancelled for failure to pay these fees in full or failure to set up a payment plan.
- For all scheduled surgeries we require at least 5 business days’ notice to cancel or reschedule. Failure to provide us with the appropriate 5 business days’ notice, or if you simply do not show up for your scheduled surgery, will result in a $250 non-refundable charge to your account. Exceptions to the above will be applied if extenuating circumstances present.
- If there are any changes to your insurance, please call our office immediately. Failure to provide ample time to obtain authorization and benefits may result in your surgery being cancelled or rescheduled.
- Instructions for FMLA/Short Term Disability Paperwork:
- In order for our office to complete your FMLA/Short Term Disability paperwork in a timely manner, please follow the instructions below. Please note this section only applies to patients requiring this paperwork for their employer.
- Please bring/send your FMLA/Short Term Disability paperwork as soon as possible.
- Please fill out your portion of the FMLA/Short Term Disability paperwork prior to bringing/sending your FMLA/Short Term Disability paperwork.
- A fee of $10 must be paid before the FMLA/Short Term Disability paperwork can be completed.
- The turnaround time for FMLA/Short Term Disability paperwork is 7-10 business days post operatively.
- Please contact our office after your surgery to schedule your post op appointment at (623) 512-4390.
Timeline
Cement Mason
McCarthy Building Companies
01.1990 - 08.2023
High School Diploma -
John Jenkins