Admission Checklist
Please comply with all of the following:
Identification (drivers license, social security card) and Insurance Cards
Advance Directives (living will, Healthcare Representative, etc.Arrange in advance for a family member or friend to be available for transportation at the time of discharge. This can occur at any time during the day so this individual should be available all day. Discharges usually occur by 10:00 am.
Comply with all insurance requirements (i.e, notify insurance carrier of admission, obtain second surgical opinion)
HMO Referral from your primary care physician (if applicable)
CHAMPUS Statement of Non-Availability (if applicable)
Uncompensated Care Documents if requested by Admissions Staff (for uninsured patients)
List of current medications (dose and usage)
Admissions Forms Packet (forms signed where indicated)
Any billing forms required by your insurance carrier (signed if required)
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