Patient Admission Form


What is a patient admission form?

A patient admission form is a document that a patient is asked to complete when they are being admitted to a hospital for treatment. The form typically asks for personal information such as the patient’s name, address, and contact information. The purpose of the patient admission form is to provide the hospital with the information it needs to properly care for the patient during their stay.

Who fills out the patient admission form?

The patient admission form is typically filled out by the patient, although it can also be completed by a family member or legal guardian if the patient is unable to do so. The hospital staff can also fill out the form at the request of the patient/family member of the patient.

What is the importance of the admission form?

The admission form is important because it helps the hospital obtain all necessary information about the patient that will help ensure a smooth process during their hospital stay.

What information is included in the admission form?

The following information needs to be filled out in the admission form:

  1. Patient’s name
  2. Patient’s contact details
  3. Patient’s Date of Birth
  4. Patient’s marital status
  5. Guardian details if the patient is under 18
  6. Contact person details/Next of kin
  7. Attending doctor’s details