Patient Forms
Below are common forms you may need at locations in Hampton Roads. For more information, contact your care provider directly.
Below are common forms you may need at locations in Hampton Roads. For more information, contact your care provider directly.
Sentara Healthcare and the Sentara Center for Healthcare Ethics are offering the community the opportunity to complete their Advance Care Plan (Advance Directive) and register it, free of charge, with our national Advance Directive Registry through the U.S. Living Will Registry. Where ever you go in the United States your Advance Care Plan will be accessible by healthcare professionals when needed to guide your medical care if you are unable to communicate your wishes or make your own decisions.
You will need to submit this form to request paper medical records.
At the beginning of your third trimester, we encourage you to pre-admit your hospital stay. This ensures your information is in our system before your special day arrives.
If you are a new patient for a Sentara Medical Group practice, download this form. Print and complete the form, and bring it with you to your first visit.
If you want to have a medical record transferred from another doctor’s office to your new Sentara Medical Group office, please complete this form. Likewise, this form can also be used to authorize someone other than you to have access to information about your healthcare status on treatment. Just print and complete the form and bring it with you to your next appointment.
To review a copy of the Sentara Hospitals and Sentara Medical Group Consent for Treatment & Financial Agreement details. (Note: Must be completed and signed in-person. Do not print).
To review a copy of the Sentara Hospitals and Sentara Medical Group Consent for Treatment & Financial Agreement details. (Note: Must be completed and signed in-person. Do not print).
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