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Surgical Care Patient Forms | Long Beach Memorial Medical Center
Long Beach Memorial Medical Center Surgical Care

Patient Forms

Long Beach Memorial Medical Center

You will be asked to complete a number of forms prior to being admitted to the hospital and your surgical procedure. It is important that you complete each form to the best of your knowledge. Your treatment will be based on the information you provide. Your procedure may require the following forms:

Pre-Admittance Forms

Depending on the type of surgical procedure, or if the patient is a minor, additional forms may be required.

 

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MemorialCare Health System is rank in SDI's 2011 Top 100 IHNs
 
MemorialCare Health System Among 29 Major Employers Worldwide Receiving 2011 Gallup Great Workplace Award
MemorialCare Health System is a not-for-profit integrated delivery system that includes six top hospitals – Long Beach Memorial, Miller Children's Hospital Long Beach, Community Hospital Long Beach, Orange Coast Memorial, and Saddleback Memorial Laguna Hills and San Clemente; medical groups – MemorialCare Medical Group and Memorial Prompt Care; an Independent Practice Association (IPA) – Greater Newport Physicians; MemorialCare HealthExpress retail clinics; and numerous outpatient health centers throughout the Southland. Our community-based hospitals are located in Southern California in both Los Angeles County and Orange County. Copyright © 1999 - 2013, Memorial Health Services. All rights reserved.