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YORK HOSPITAL YORK, PA 17405 Outpatient Transfusion Order Form Patient Name: Date of Birth (required): MR# (optional): Reminder: Obtain & file current signed and dated Blood Consent Form 1. Diagnosis:
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How to fill out York Hospital York PA:

01
Begin by gathering all necessary personal information, such as your full name, date of birth, address, and contact information.
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Make sure you have your insurance details readily available, including policy number and any necessary authorization or referral information.
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When arriving at the hospital, check in at the front desk or registration area. Provide any required identification and paperwork, if necessary.
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If you have a scheduled appointment, inform the hospital staff and be prepared to provide the necessary paperwork related to your specific visit.
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If you need to fill out any additional forms or questionnaires, take the time to carefully read and respond accurately.
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Don't forget to sign and date any required documents. Ensure that all information provided is legible and complete.
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If you have any questions or concerns while filling out the paperwork, don't hesitate to ask a staff member for assistance.
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Once you have completed the necessary paperwork, return it to the appropriate hospital staff member or designated drop-off location.
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