Admissions Packet

For your convenience, these admission forms are provided for you to review prior to admission. However, please wait until you meet with an admission clerk on the day of your surgery before you sign them.

• General Conditions of Admissions
• Release of Information, Assignment of Insurance Benefits and Financial Agreement
• Patient Rights and Responsibilities
• Notice of Privacy Practices
• Advance Health Care Directive Information
• Advance Health Care Directive
• An Important Message from Medicare/Champus
• Medicare Secondary Payer Questionnaire
• Patient Quality Questionnaire