Philadelphia Pennsylvania Hospital Authorization to Visit Form, also known as the Philly Hospital Visit Form, is a crucial document designed to grant individuals the permission to visit patients within the hospital premises. This form ensures the privacy, safety, and well-being of both patients and visitors, while adhering to the hospital's policies and regulations. The Philly Hospital Authorization to Visit Form is applicable to various types of visitors, including friends, family members, and caregivers. By filling out this form, visitors agree to abide by the hospital's visiting hours, display proper behavior, and respect the rights and confidentiality of other patients. The different types of Philadelphia Pennsylvania Hospital Authorization to Visit Forms include: 1. General Visitor Authorization Form: This form is necessary for individuals who wish to visit patients who are not immediate family members. It requires visitors to provide their personal information, contact details, and relationship to the patient. 2. Family Member Authorization Form: Specifically designed for immediate family members, such as spouses, parents, or children, this form validates their right to visit the patient. It may require additional documentation to prove the familial relationship. 3. Caregiver Authorization Form: This form is used when a designated caregiver needs to visit and assist the patient during their hospital stay. The form authorizes the caregiver to access the patient's room, provide support, and coordinate with the medical staff. 4. Minor Visitor Authorization Form: When a minor wishes to visit a patient, this form must be completed by their parent or legal guardian. It includes information about both the minor and the responsible adult, as well as any additional requirements outlined by the hospital. 5. Extended Stay Visitor Authorization Form: In cases where a visitor intends to stay with the patient for an extended period, this form must be submitted. It typically requires details about the visitor's planned duration of stay and accommodation arrangements. 6. Restricted Visitor Authorization Form: For patients who require limited or restricted visitation, such as those under infectious disease control measures or high-security conditions, this specialized form must be completed. It outlines the specific conditions under which the visitor may access the patient and any necessary precautions. Philadelphia Pennsylvania Hospital Authorization to Visit Forms are important tools for maintaining order, security, and privacy within the hospital environment. They enable the hospital staff to regulate and monitor visitor activities while safeguarding the comfort and well-being of the patients. It is essential for visitors to thoroughly understand and abide by the guidelines outlined in these forms to ensure a positive and smooth visitation experience for all parties involved.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.