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Admission Checklist

Download the Checklist to help plan and prepare for your procedure and/or admission

General consent form

The form describes standard hospital policies, such as the sharing of your medical information with appropriate parties, your responsibility for your personal property while at Yale-New Haven Hospital Saint Raphael Campus, and its role as a teaching hospital.  It's important that you understand this form.  If you have any questions, please call the Patient Relations Department at 203.789.3508. Please do not sign the copy of the form you download at home. Upon your arrival at the hospital, a representative from our Admitting Office will provide the "official copy," which she/he will review with you and ask you to sign in her/his presence. You will then be given a copy of the signed document for your personal records.

Informed consent

If you are having an operation or other procedure, you may be asked to sign a form known as "informed consent" (Authorization for Operation).   This consent is specific to the procedure you will be having and is in addition to the general consent form which you will sign prior to or on admission to the Hospital (see above).

The informed consent will be completed prior to your procedure in either your physician's office or at the Hospital.  The most important goal of the informed consent is that you-as the patient-have an opportunity to be an informed consumer in your healthcare decisions.  Your physician will have a conversation with you regarding your procedure, including:

  • the reason the procedure is being done
  • the nature of the procedure
  • alternatives to the procedure
  • the risks and benefits of the procedure

Your signature on the informed consent form indicates that you understand the information provided.  If you have any questions regarding the procedure you are scheduled for, please let our staff know once you arrive at the Hospital and we will work with your healthcare team to ensure all your questions have been answered.

Advance directive

You have the right to make decisions about the medical care you receive, and whether or not you want certain treatments. You also have the right to receive information from your physician that will assist you in your decision-making about medical care.
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