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HMC Forms

Advance Directive Checklist
Consent to Routine Procedures, Treatments, and Acknowledgements
History and Physical Record/Post Procedural Note
Consent to Pay for Services
Consent to Surgical or Diagnostic Procedures
Summary of Notice of Privacy Practices
Rehabilitation Services Referral
Physicians Order Sheet

ANT PAS Orders
ENT Surgery PAS & Preoperative Orders
General Surgery PAS & Preoperative Orders
GYN PAS & Preoperative Orders
Neurosurgery Surgery PAS & Preoperative Orders
Ophthalmic Surgery PAS & Preoperative Orders
Orthopedic Surgery PAS & Preoperative Orders
Plastic Surgery PAS & Preoperative Orders
Podiatry PAS & Preoperative Orders
Urology PAS & Preoperative Orders

Core Measures Order Sets
Heart Failure Admission Order Set (EB)
Hemorrhagic Stroke Admission Orders
Ischemic Stroke/ TIA Admission Orders
Non-ST Elevated MI (NSTEMI) /Unstable Angina Admission Order Set
Pneumonia Admission Order Set
ST - Segment Elevated Acute Myocardial Infarction Admission Order Set