Clara Barton Hospital | Patient Forms

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250 West 9th Street

Hoisington, KS 67544

Current Visitor Restrictions: All patients will be allowed 1 visitor for the extent of their visit or stay

PATIENT FORMS

Treatment Authorization Form

Nuclear Stress Test Instructions

School Physical Form

COVID-19 Vaccine Consent Form

Notice of Privacy Practices

Vaccine Consent Form

Pre-Op Anesthesia Questionnaire

Aviso De PrÁcticas De Privacidad

Flu Vaccine Consent Form

No Surprise Disclosure Form