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Patient forms

Below is a list of patient forms including maternity preadmission form, advance health care directive and allergies and medications form.

Important health care forms and questionnaires

Advance Health Care Directive
Use this form to make your future health care wishes known, in the event you can't make them for yourself.

Allergies and Medications Form
If you have a Sharp Rees-Stealy appointment, use this form to notify your provider which prescription medications, supplements, herbs, vitamins and over-the-counter medications you are currently taking.

Authorization for Use or Disclosure of Protected Health Information
How to request your medical records.

Living Kidney Donor Intake Form
Use this form if you are interested in donating your kidney to a friend, family member or someone else in need of a kidney transplant.

Maternity Preadmission Form
If you are pregnant and delivering your baby at Sharp Mary Birch Hospital for Women & Newborns, Sharp Grossmont Hospital Women's Center or Sharp Chula Vista Medical Center, please fill out this form at your earliest convenience. This form is also available in Spanish.

Sharp Rees-Stealy patient forms
Sharp Rees-Stealy provides several PDF forms for you to fill out ahead of your doctor's appointment. 

Vial of Life Form
Designed to speak for you when you can't speak for yourself, this form contains important medical information about you for use by emergency personnel. Keep the completed form on your refrigerator, in your car and at work.