Listed below are new patient forms that you may need for your visit to our hospital. Please note that our patient family must also have a photo ID and insurance information available for registration personnel.
We encourage you to become familiar with the patient forms provided to help you know your rights and responsibilities. These forms will also assist you in becoming more involved in your care as we partner with you to treat and improve your health.
- Acknowledgement of Speak Up Brochures Form
- Facilities Physician Staffing Disclosure
- Infection Control Screening
- Patient Ethnicity and Race Questionnaire
- Patient Rights and Responsibilities
Thank you for joining our patient family by choosing The Physicians Centre Hospital for your hospital admission or outpatient needs. We want to provide a safe, efficient and care-free experience so you can get back to doing what you love. If you have any concerns, questions or comments, please do not hesitate to click here and reach out to us! Your voice is important and will be heard.