Welcome to Central Peninsula Hospital. Thank you for choosing us for your healthcare needs. Below are resources for your Digital Admission Packet.
Welcome to Central Peninsula Hospital. Thank you for choosing us for your healthcare needs. Below are resources for your Digital Admission Packet.
General Admission Info
General information about a patient’s hospital stay, services, expectations, and resources. Given during registration/admission to orient patients and families.
OB Admission Info
OB specific information about a patient’s hospital stay, services, expectations, and resources. Given during registration/admission to orient patients and families.
Advanced Healthcare Directives
Explains advance directives, living wills, and healthcare decision makers. Used when patients want to document future healthcare wishes or designate a healthcare agent.
AskMe3
Patient education tool encouraging patients to ask key questions about their care. Helps improve understanding of diagnosis, treatment, and follow-up instructions.
Authorization Prot
HIPAA authorization form allowing disclosure of medical information to specific individuals or organizations. Completed when patients want records shared beyond routine treatment, payment, or operations.
Financial Assistance Brochure
Explains available financial assistance programs and eligibility requirements. Used by uninsured or underinsured patients who may need help paying medical bills.
Notice of Nondiscrimination Accessibility
Explains patient rights regarding nondiscrimination and availability of language/accessibility services. Provides information about equal access to care and interpreter services.
Patient Rights
Outlines the rights patients have while receiving care and their responsibilities as participants in care. Required patient notification during admission.
Privacy Practices Summary
Summary of how CPH may use and protect patient health information under HIPAA. Given to patients to explain privacy rights and healthcare information management.
Surprise Medical Bills
Information regarding protections against unexpected out-of-network medical bills. Helps patients understand billing protections and complaint processes.
Discharge Planning Checklist (Medicare)
Checklist to help Medicare patients prepare for discharge and post-hospital care needs. Used during discharge planning to ensure safe transitions of care.
Managing Your Pain
Educational material regarding pain management options, expectations, and patient involvement. Helps patients understand pain control methods before, during, and after treatment.
Patient Advocacy
Explains the role of Patient Advocates and how patients can voice concerns or seek assistance. Used when patients need assistance resolving issues or understanding care concerns.
RRT Phone Number Flyer
Provides information on when and how patients/families can activate a Rapid Response Team. Used if there is concern about a patient’s condition and immediate clinical review is needed.
Thank You Grams
Recognition form for patients and families to acknowledge exceptional staff service. Used to submit compliments and recognize staff members.
Tobacco Free24
Explains hospital tobacco-free policies and tobacco cessation resources. Educates patients, visitors, and staff about smoking restrictions and support services.
Medication List
Personal medication tracking form. Patients use it to document current medications, dosages, and schedules for accurate medication reconciliation.
My Chart Smartphone App
Instructions for downloading and using the MyChart patient portal mobile application. Helps patients access records, appointments, messaging, and test results electronically.