Campbell County Memorial Hospital
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Forms

Pre-Procedure

Please download and complete this pre-procedure form {PDF} and bring it with you to your pre-anesthesia testing appointment.

The Release of Information Form (in the Adult/Child Intake Forms) must be completed in its entirety before any medical records can be released. The patient's signature and a copy of their photo ID is also required, along with a witness signature. (It can be anybody over the age of 18).

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