Thank you for trusting CGH with your health or the health of your loved one. Everyone here is dedicated to providing you and your family with the best possible care. Hospitals can sometimes be confusing places, especially when you are facing problems with your health or the health of a loved one. In an effort to provide you with clear information, we have created a digital patient guide to help explain some of our services and what to expect.
Admitting
When you enter CGH, your consent for treatment is required. Consent for minors must be signed by a parent or legal guardian. You will be asked for photo ID and insurance information. To see if your procedure requires pre-approval, call your insurance company or contact our precertification representative.
Privacy Forms
- HIPAA privacy notice
- HIPAA privacy notice (Spanish)
- HIPAA privacy notice summary and acknowledgement form
- Health information release form
Brochures and Forms
- Anesthesia Consent
- Anesthesia Patient Questionnaire
- Barium Enema
- Bladder Health Questionnaire
- Bone Density/DEXA Scan
- Bone Density/DEXA Scan Spanish
- Cath Lab Instructions
- CAT Scan Information
- CAT Scan Information Spanish
- CHF Patient Guide
- Daily Voiding Diary
- Echocardiogram
- Electrocardiogram
- Epworth Sleepiness Scale
- FOSQ Instructions: Remstar Auto
- FOSQ Instructions: Remstar Pro "M" Series/Remstar Auto "M" Series
- FOSQ Instructions: Remstar Pro and Remstar Pro 2
- General X-ray: Arthrogram
- General X-ray: Colon X-ray
- General X-ray: Colon X-ray Spanish
- General X-ray: Esophagram
- General X-ray: Hysterosalpingiogram
- General X-ray: UGI
- General X-ray: Upper GI Small Bowel
- Intercranial Ultrasound
- Mammography
- Mammography: Post Breast Biopsy Instructions
- Mammography: Pre Breast Biopsy Instructions
- MRI
- MRI Spanish
- Neurology EEG
- Nuclear Medicine: Bone Scan
- Nuclear Medicine: Gallium Scan
- Nuclear Medicine: Gastric Emptying Study
- Nuclear Medicine: HIDA Scan
- Nuclear Medicine: Liver, Spleen Scan
- Nuclear Medicine: Meckels Scan
- Nuclear Medicine: MUGA Scan
- Nuclear Medicine: Nuclear Renal Scan
- Nuclear Medicine: Parathyroid Scan
- Nuclear Medicine: Thyroid Scan
- Nuclear Medicine: Thyroid Scan with Uptake
- Nuclear Medicine: Triple Phase Bone Scan
- Pediatric Surgery Guide
- Pelvic Floor Exercises
- PET Scan
- Pharmacological Myoview Myocardial Perfusion Study
- Polysomnogram
- Sleep Diary
- Sleep Hygiene Guidelines
- Small Bowel X-ray
- Swallowing Assessment
- Tomogram
- Treadmill Myoview Myocardial Perfusion Study
- Treadmill Stress Echo Test
- Treadmill Stress Test
- Ultrasound: Aorta Ultrasound
- Ultrasound: Aspiration or Biopsy with Ultrasound
- Ultrasound: Breast Ultrasound
- Ultrasound: Gallbladder Ultrasound
- Ultrasound: No Prep Patient Information Sheet
- Ultrasound: Pelvic Ultrasound
- Ultrasound: Pregnancy Ultrasound
- Ultrasound: Transvaginal Ultrasound
- Urodynamic Testing
- Venogram
- Voiding Cystogram
- Advance Directives: Power of Attorney for Healthcare
- Advance Directives: Living Will Declaration
- Advance Directives: DNR Form
- Authorization to Release Health Information
- Auxiliary Membership Form
- Auxiliary Voluteen Application
- CGH Dog Therapy Program Application
- CGH Policy on Charity Services
- Chiropractic Accidental Injury
- Chiropractic Patient Information
- Chiropractic Patient Information (Spanish)
- Financial Assistance Packet
- Financial Assistance Packet (Spanish)
- Financial Assistance Scale
- Headache Disability Questionnaire
- Loan Application
- Lower Back Disability Questionnaire
- Migraine Diary
- Neck Disability Questionnaire
- Neurology Headache Questionnaire
- Parkinson's Disease Card
- Photo Consent Form
- Photo Consent Form (Spanish)
- Renal Artery Ultrasound