Forms & Information
- Notice of Health Information Practices (review prior to appointment)
- Adult Registration (used at your first appointment)
- Adult-Health-History (used at your first appointment)
- Medical Records (used to transfer medical records from an outside facility)
- Notice of Health Information Practices (review prior to appointment)
- Pediatric Registration (used at your child's first appointment)
- Pediatric Intake
- Authorization for Disclosure of Health Information (used to transfer your child's medical records from an outside facility)
- Advanced Directive (used for clearly documenting your decisions about your health care - including a Living Will)
- Permission to Treat an Unaccompanied Minor (used when a minor will be coming in for specific treatment without a parent/guardian present)
- Permission to Treat a Minor when Accompanied by Non-Parent or Guardian (used to designate an adult other than the parent or guardian to give consent to medical or surgical treatment by any licensed physician or hospital)
Registration & Preadmission
For all patients, a preadmission appointment within 14 days of surgery is required. Typically, the preadmission process occurs within 14 days of your surgery, especially if blood work is required. The appointment takes 45 to 60 minutes, depending on your procedure. For many patients, the preadmission interview process can be done over the phone.
During your appointment, we will:
- Obtain comprehensive health history
- Obtain complete current medication list
- Determine needs for pre-anesthesia studies (blood work, EKG, etc.)
- Offer pre-surgical instructions
- Answer your questions
Forms to fill out and bring with you to your preadmission appointment:
- Personal Medication Record
- Preregistration Form (English)
- Preregistration Form (Chinese)
- Preregistration Form (Somali)
- Preregistration Form (Spanish)
- Preregistration Form (Vietnamese)
For in-person appointments, bring your photo ID and insurance card.
Phone numbers to schedule your preadmission appointment:
- Swedish Ballard: 206-781-6245
- Swedish Cherry Hill: 206-215-3200
- Swedish First Hill: 206-215-3200
- Swedish Issaquah: 425-313-5330