The journey through hospital admission is guided significantly by filling out the Hospital Admission form, an essential step for patients scheduled for surgery or any medical procedure. Dameron Hospital Association, located at 525 West Acacia Street in Stockton, California, emphasizes the importance of providing complete and accurate personal and medical information through the form to ensure a smooth admission process. This comprehensive form covers personal data, including basic identification details, insurance information, and specifics about the patient’s condition and medical history. It also highlights the necessity of avoiding bringing valuables to the non-smoking facility and acknowledges room requests cannot always be guaranteed. Additionally, it carries sections dedicated to spouse or nearest relative information, details relevant if the patient is a child, and crucial insurance data, encompassing Medicare, Medi-Cal, and private insurance specifics. This form also queries about Advance Directives and special needs like language assistance, reinforcing the hospital's commitment to personalized and attentive care from the moment of admission. It stands as a critical document that bridges patients' preparatory process with the hospital's administrative and healthcare delivery systems, designed to streamline the admission process and ensure a focus on health and recovery.
| Question | Answer |
|---|---|
| Form Name | Hospital Admission Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 48 |
| Avg. time to fill out | 9 min 51 sec |
| Other names | memorandum of transfer form, hospital memorandum of transfer requirements, hospital memorandum of transfer form, psychiatric hospital admission consent form |