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This document serves as an authorization for medical or surgical treatment at Phoenix Animal Hospital. It outlines the procedures to be performed, safety precautions, estimated costs, and payment methods. The owner must indicate acceptance or decline of specific safety procedures and acknowledges understanding of potential risks involved.

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What is hospital admission statement?

A hospital admission statement is a formal document that provides essential information about a patient upon their admission to a hospital, outlining their medical history, current health status, and reason for hospitalization.

Who is required to file hospital admission statement?

The healthcare provider or hospital staff responsible for admitting the patient is required to file the hospital admission statement, typically including nurses, physicians, or administrative staff.

How to fill out hospital admission statement?

To fill out a hospital admission statement, one must gather relevant patient information such as personal details, medical history, medications, allergies, and the reason for hospitalization, and enter this data into the standardized admission form.

What is the purpose of hospital admission statement?

The purpose of a hospital admission statement is to ensure that the healthcare providers have a comprehensive understanding of the patient's medical background and current needs for appropriate treatment and care.

What information must be reported on hospital admission statement?

The information that must be reported on a hospital admission statement includes the patient's full name, date of birth, contact information, insurance details, medical history, current medications, allergies, and the primary reason for admission.