PST Surgical Packet

• CONSENT FOR OPERATION, SPECIAL TREATMENTS OR PROCEDURES (Form 22130)
• PRE - ADMISSION SERVICES ORDER FORM (Form 22010)
• PHYSICIAN ORDER SHEET PRE-OPERATIVE - SURGICAL (Form 23149)
• PRE-ANESTHETIC EVALUATION FORM (Form 22122)
• MEDICAL EVALUATION (Form 22759)
• PHYSICIAN ORDERS LAPAROSCOPIC CHOLECYSTECTOMY (Form 22448)
• PHYSICIAN ORDER SHEET PRE-OPERATIVE - COLON / RECTAL SURGERY (Form 23151)
• PHYSICIAN ORDER SHEET PRE-OPERATIVE - GYNECOLOGIC AND OBSTETRIC (Form 23150)

Direct Admit Packet

• ADMISSION / POST OPERATIVE / TRANSFER PHYSICIAN’S ORDER SHEET (Form 22215)
• PROGRESS RECORD (Form 22051)
• HISTORY and PHYSICAL (Form 22426)
• PHYSICIAN ORDER SHEET UNSTABLE ANGINIA/NON ST ELEVATION (Form 22828)
• PHYSICIAN ORDERS COMMUNITY ACQUIRED PNEUMONIA (Form 22504)
• PHYSICIAN ORDERS CONGESTIVE HEART FAILURE (Form 22752)