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COVID-19 Resource Center
Your Visit
Visitor Policy Safe Patient Care Patient and Family Resources
Vaccines & Testing
Testing Vaccines
Treatment & Research
Treatment & Research COVID-19 Outpatient Therapeutics Participate in COVID-19 Research Post-Acute Syndrome Clinic
Daily Living
Masking Information Everyday Activities Children's Health COVID-19 MythBusters Discover Your Risk For COVID-19 People Who Are Immunocompromised
FAQ
Health Care Provider
Resources and Testing for First Responders and Essential Workers Advice on Personal Protective Equipment (PPE) COVID-19 Advice and Training (CME) Infection Control Guidance Clinical Care Advice Emergency Medical Services (EMS) Information Virology Lab Statistics COVID-19 Outpatient Therapeutics - Health Care Professionals

COVID-19 Resource Center / Patient and Family Resources / Medical Forms

Medical Forms

Completed Caregiver Contact Form

If your family or caregiver cannot be with you during your hospital stay, it is important to name who your care team should update about your care. This form lists the person that you want your care team to talk to about your care and treatment. It can be found in this guide, so be sure to bring it with you to your scheduled surgical procedure.

Advance Health Care Directive

This document spells out your preferences for medical care in case you cannot speak for yourself. It also names your medical decision maker.

A medical decision maker can speak for you if you cannot speak for yourself. They can make sure your doctors know about the care you want. Let your medical decision maker know you chose them before your surgical procedure.

Surgical Procedures Checklist

Ensure you complete everything you need to do before your procedure with this checklist.