For patients, Simple Admit is easy, private, and convenient. Patients complete the secure web form wherever and whenever they choose. Clinical staff gain more legible, complete medical histories and patient information since patients are completing the form themselves. Even medical accuracy is enhanced. Simple Admit includes a medical dictionary and medication drug database to ensure medication names and dosages are accurate.

It’s a simple process…

All of your medical information is confidential.

• The time it takes to complete the form is dependent on your personal medical history. Typically, a person who is healthy and not taking many medications should expect to spend 15 minutes completing the form. Someone with a more complicated medical history or list of medications will take longer.
• Upon receipt of your information, a staff member or nurse may call you for further clarification if necessary.

Before you begin the online admissions form, please make sure that you have the following information available, as it may be needed to complete your form:

• Prescription medications – names and dosage of each one you take.
• Over-the-counter medication – names and dosage of each one you take regularly.
• Vitamin and herbal medications – names and dosage of any that you take.
• Allergies/Sensitivities you have, and the allergic reaction(s) they cause.
• Previous surgeries, and the year they were performed.
• Medical Insurance – insurance company, policy number, ID number, etc.