For Our Physicians Preprinted Orders & Hospital Forms Preprinted Orders Core Measures Hospital Forms Patient References/Tools Translated Forms Unit Specific Orders & Forms Translated Forms Preprinted Orders and Hospital Forms Number Title Language Influenza VIS Spanish Influenza VIS Cambodian Influenza VIS Vietnamese Influenza VIS Tagalon Patient's Guide to Blood Transfusion Spanish Pneumonia VIS Spanish Vaccine Information Statements {External Site} ALL 00338 Nursing Department Discharge Instructions Spanish 00395 Consent for Vaccine Administration Spanish 00395 Consent for Vaccine Administration Russian 00402 HIV - CD4 Spanish 00402 HIV - CD4 Russian 00458 Consent for Surgery Spanish 00458 Consent for Surgery, Special Diagnostic or Therapeutic Procedure Russian 00458 Surgical Consent Form Hmong 00512 Pre-op Teaching Confirm List Spanish 00512 Pre-op Teaching Confirmation List Form Russian 01367 ACU, PACU Home Care Instruction sheet-Adult Spanish 01367 - Mem ADULT OP Home Care Intstructions Form Russian 02239 Consent for Transport, Admit, Treat & Release Spanish 08735 - 1001 Case Management Neonate Spanish 08765 - 20471 Case Management Pediatric Discharge Plans Spanish 20022 IV Pain Control Brochure Spanish 20022 IV Pain Control Brochure Russian 20022 IV Pain Control Brochure Hmong 20392 Managing Your Pain Spanish 20392 Managing Your Pain Russian 20392 Managing Your Pain Hmong 20417 ECMO consent form Spanish 20599 Advance Directive (L&D) Hmong 20599 Advance Directive (L&D) Russian 20599 Advance Directive (L&D) Spanish 20650 Authorization for the Disclosure of Medical Records Spanish 20756 Car Seat Resources Spanish 21010 Heart Care at a Glance: Heart Failure Discharge Instructions Spanish 21293 ACU discharge sheet Hmong 21293 ACU,PACU Home Care Instruction sheet-Pediatrics Spanish 21293 Pediatric Outpatient Home Care Instructions Form Russian 21429 ATU Consent to Photograph Spanish

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