Outpatient Information

Patient Medication & Dosage

My Game Plan Medical Card


The Patient Medication and Diagnosis My Game Plan Medical Card was developed for you to let us know just what medications you take at home, your allergies and the names and phone numbers of your physician and pharmacy. We request that you fill this form out completely and as legibly as possible and bring it with you to the hospital on the day of your surgery/procedure and present it to the admitting nurse.

Download the My Game Plan Medical Card

Outpatient Resources

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