Forms & Information

Forms Instructions

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.

Frequently Asked Questions about Robotic and Minimally-Invasive Surgery

What does "minimally invasive surgery" mean? Also called MIS, keyhole, laparoscopic or endoscopic surgery, minimally invasive surgery is...

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.

Speak Up and help prevent medical errors

Mistakes can happen during surgery. Hospitals and other medical facilities that are accredited by The Joint Commission must follow a procedure that helps surgeons avoid these mistakes.

Mistakes can also happen before or after surgery. A patient can take the wrong medicine. Or they don’t understand the instructions about how to take care of themselves. As a patient, you can make your care safer by being an active, involved and informed member of your health care team.

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.