Forms & Information

Forms Instructions

Clinical publications

Learn clinical best practices and the latest advances in techniques, treatments, technology and research. Newsletter articles are reviewed by physician editorial boards and are written by Providence specialists in brain, spine, cancer, orthopedics, and heart and vascular medicine.

Five Simple Things You can Do to Prevent Infection

Infections are dangerous – especially for people who are hospitalized or are having surgery. Here are five simple things you can do to reduce your risk of infection.

Personal Medication History Form

Your complete medication history is important to your physicians and to the hospital. Please fill out this form and bring it with you anytime you go to the doctor’s office or to the hospital. If you are scheduled for a Pre-Surgical Services appointment, make a trip to the Emergency Room, or are coming directly to the hospital, remember to bring this completed form!!

If for some reason you are unable to fill out this form, please bring in a bag all of the medications (in their original containers) that you are currently taking.

Pre-Surgery Pediatric Health Status Summary Form

To make sure you get the best, safest care possible, we need some important information about you. Before your child comes to the hospital for surgery, please complete and bring with you a copy of this Pediatric Health Status Summary for children under the age of 13.

Step-By-Step Guide for Surgery Patients

Please read and follow these instructions as you prepare to have surgery at Providence Milwaukie Hospital, Providence Portland Medical Center or Providence St. Vincent Medical Center. The instructions will help to make your experience as smooth and comfortable as possible.

Proprietary Health Article

Assessing and Controlling Pain: What You Should Know

Communicating how you feel when you experience pain can be difficult under normal circumstances. While you are in the hospital, we want you to tell us how you feel using the simple Pain Rating Scale

With this tool, you can describe how much pain you are feeling. This will help the nurses know if you are receiving appropriate pain relief. Throughout your hospital stay, your doctor and nurse will ask you to rate your pain.

Providence Surgical Services Patient Safety

Providence Surgical Services is committed to ensuring your safety throughout your surgical stay. Our number one safety goal is to guarantee that each surgery patient is accurately identified and has the right surgery performed in the right location.

Recommended Resource

MedlinePlus

To research health conditions and procedures, we recommend visiting the National Institutes of Health's MedlinePlus health information site.