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Admission

Admission Guide

What to bring with you at admission.

  • Clothing

  • Slippers, soap, shampoo, toothbrush, toothpaste, hairbrush, towels etc.

  • All your current medications and prescriptions to present to your assigned physician

  • All x-rays, scans and other test results related to your condition (including those performed at other medical intuitions)

  • A copy of your ID card or passport

  • Medical insurance details

  • Funds to cover your deposit (please ask the Admission Officer for the correct amount)

What to bring for children.

  • Pajamas and clean, comfortable clothes

  • A familiar toy or stuffed animal to comfort the child (noisy toys are not suitable),books

  • Milk or formula, if bottle feeding (Medcorp can supply milk for a fee)

Leave your valuables at home

St. Clair Medical Centre will not be liable for items not secured in the hospital safe, while you are hospitalized. It is strongly recommended that patients leave all valuables at home, or give them to your family or friends to take care of. Please advise the admission officer upon admission if you require that valuables be stored in the safe.

Cancellation of a scheduled admission

If you wish to delay or cancel your appointed hospitalization at SCMC, kindly  notify us within two working days prior to your scheduled admission.

Cancellation notifications must be made directly to the Admission Officer, at extensions 202, 228 or 232 between 8:30 –4:30 hours, Monday through Sunday

Patient Information

         
         
First Name (required)
   Middle Name(required)
   Last Name(required)
         
Age(required)

   Date of Birth (required)

  Sex FemaleMale
         
Record No.
 Phone(required)
   Marital Status(required)
         
Religion(required)
   I.D. Number (required)
   Blood Group (required)
         
Address(required)
         

Employment Information
         
         
Occupation(required)
   Employer(required)
   Phone(required)
         
Address(required)
    
         

In case of Emergency Information
         
         
Next of Kin(required)
   Relationship(required)
   Home Phone(required)
         
Business Phone(required)
   Mobile Phone(required)
    
         
Address(required)
         

Family Information
         
         
Father's Name (required)
   Address(required)
         
         
         
Mother's Name (required)
   Address(required)
         
         
         
In Emergency-Notify(required)
         

Admission Information
         
Admit Date(required)

   Time (required)

   Length of Stay (required)
         
Room No.(required)

   Type of Room(required)

   SmokingYesNo
         
TvYesNo   Admitting Physician(required)
   Phone(required)
         
Address(required)
         

Discharge Information
         
         
Discharge Date(required)

   Time (required)

   Family Physician(required)
         
Address(required)
   Phone(required)

    
         
         

Insurance Information
         
         
Health Insurance CompanyYesNo   Phone(required)
    
         
         
Address(required)
   Responsible for Payment-Guarantor(required)

    
         
         
       

 

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