Dameron Hospital

Admitting Information

Hospital admitting is available on a 24-hour basis please follow your physician’s advice as to actual time of admittance. Financial arrangements should be made with our credit manager (ext: 3114) prior to admission.
It is necessary that you sign the Conditions of Admission Form, which includes an authorization for medical and surgical treatment. You will also be asked to sign personal financial liability and assignment of insurance benefits forms.

It is important for us to know about the prescription and over-the-counter medications you are presently taking, if you are presently taking vitamins, herbal supplements, etc. Please click on the link below and use the form below to help us collect that information.
If you are to have surgery or undergo special procedures, the nurse will ask you to sign a form for Authorization for and consent to surgery or special diagnostic or therapeutic procedures. Parents must sign forms on admission for children under 18 years of age.  The admitting clerk will notify you when your room is ready, and you will be escorted to your room.

If you are scheduled for surgery, please click on the links below. These forms are to be filled out and mailed to us prior to your pre-operative appointment. When mailing, please be sure to send to the attention of the Pre-admissions Department. Thank you.

PDF Pre-Admission Information Form
PDF Pre-Anesthesia Evaluation Form
PDF Medication List

PDF Authorization to Surgery and Special Procedure

Dameron Hospital Association
525 West Acacia Street, Stockton, CA 95203   Tel: 209.944.5550
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