Get Pre Admission Form

Filling out the Pre Admission Form online is a straightforward process designed to streamline your hospital admission experience. By completing this form accurately and promptly, you can significantly reduce your waiting time upon arrival.

Follow the steps to complete the Pre Admission Form online.

1. Click ‘Get Form’ button to obtain the Pre Admission Form and open it in the designated editor.
2. Begin with the insurance information section. Check the appropriate box related to your insurance status, such as Ontario Health Card or other provincial insurance. Enter your health card number and version code, and indicate the expiry date if applicable.
3. Provide your personal details in the designated section. Enter your full name (last, first, middle), date of birth, mother's first name, marital status, maiden name, religion, and language proficiency.
4. Complete your permanent home address section accurately, including street address, apartment/unit number, city, province, and postal code. Don’t forget to include your contact information, such as home phone, work phone, email, and cell number.
5. Identify two individuals to notify in case of an emergency. Fill in their names, relationships to you, addresses, and phone numbers, ensuring all information is complete.
6. List your family doctor’s and obstetrician’s names, along with their office contact numbers in the appropriate fields.
7. Indicate your expected date of delivery in the allotted section by entering the day, month, and year.
8. Fill out the extended health insurance section if applicable. Include the insurance company name, policy number, certificate number, and relevant details about the policy holder and their relationship to you.
9. Choose your preferred accommodations by checking the appropriate section; options include standard ward, semi-private, or private.
10. Review the form for completeness and accuracy. Make sure all required information is provided. Save your changes, then download, print, or share the completed form as needed.

Start filling out your Pre Admission Form online today to ensure a smooth admission process!