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VALLEY REGIONAL HOSPITAL GARDEN Patient Profile: Apply Label Pt Name: Date Adm to Med/Sure Unit: Physician: Covering/alternate: Diagnosis ALLERGIES: Order entry Y Admission Ht: Wt: Order entry Y N
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How to Fill Out Valley Regional Hospital:

01
Obtain a copy of the hospital admission form from the reception desk or download it from the hospital's website.
02
Fill in your personal information accurately, including your full name, date of birth, address, and contact details.
03
Provide your health insurance information, if applicable, such as policy number and the name of your insurance provider.
04
Indicate the reason for your visit or admission to the hospital, whether it's for a specific medical condition, surgery, or emergency.
05
If you have a primary care physician, include their contact information and any other medical specialists you may be seeing.
06
Mention any allergies or medical conditions that are relevant to your visit or that the hospital staff should be aware of.
07
Provide a detailed medication list, including the name, dosage, and frequency of any medications you are currently taking.
08
Make sure to sign and date the form, indicating that the information you provided is accurate to the best of your knowledge.

Who Needs Valley Regional Hospital:

01
Patients requiring specialized medical care and treatment: Valley Regional Hospital is equipped with state-of-the-art facilities and medical professionals who are experts in their respective fields. Therefore, individuals with complex medical conditions or those in need of specialized treatments can benefit from the hospital's services.
02
Emergency cases: As a regional hospital, Valley Regional is equipped to handle a wide range of emergency situations. Those in need of immediate medical attention due to injuries, accidents, or sudden severe illnesses can rely on the hospital for prompt and efficient emergency care.
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Individuals seeking quality healthcare services: Valley Regional Hospital is known for providing high-quality healthcare services, including preventative care, diagnostic tests, surgeries, and rehabilitation. Anyone who prioritizes exceptional healthcare and wishes to receive treatment from experienced healthcare professionals can consider Valley Regional as their choice of hospital.
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Valley Regional Hospital is a medical facility located in the valley region that provides healthcare services to the surrounding community.
Valley Regional Hospital administration is responsible for filing the necessary paperwork for the hospital.
To fill out Valley Regional Hospital paperwork, administration must ensure all required information is accurately provided.
The purpose of Valley Regional Hospital is to provide medical care and services to patients in the surrounding area.
Information such as patient demographics, medical history, treatment provided, and billing details must be reported on Valley Regional Hospital forms.
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