Thank you for giving us the opportunity to care for your patient. Below, you will find the necessary forms for procedures performed at our hospital. These forms are in PDF format. If you do not have Adobe®Reader® on your computer, you can download it for free by going to Get Adobe Reader.com. If you have any questions, please feel free to contact Jaclyn.McDaniel@thcds.com.
This form can be used to order imaging services.
This form collects history and physical information for short stay patients.
This form should be used if the surgeon plans to take any photographs before, during or after the procedure. This includes use on social media accounts.
This form details physician orders for post-op outpatient care.
Instructions on scheduling appointments with pre-assessment testing.
This form allows the patient to acknowledge pre-testing and scheduling information.
This form provides the “STOP-BANG” patient survey and scoring model.
