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SPENDING
just a few min-
utes now to fill out some forms is
one of the best ways to prepare for
an emergency. Forms that contain
medical information about you and
your family can be vital.
The Ameri-
can College
of Emergency
Physicians rec-
ommends that
you complete
the following forms for yourself and
your children:
w
w
Medical history, which contains
a list of both your prescription and
over-the-counter medications, medi-
cal conditions, surgeries, allergies,
and family medical history.
w
w
Consent-to-treat—available in
both English and Spanish—which
lets you designate someone (such
as a relative, babysitter, teacher or
school nurse) to make medical deci-
sions for your child in your absence.
w
w
Emergency information for
children with special health needs
(chronic medical
illnesses or dis-
abilities), which
lists all prior
medical proce-
dures, allergies,
and medications or foods to avoid.
Make copies of all your medical
forms, and keep them in your home,
car and first aid kits.
Update all of the forms regularly.
And if you have a medical condi-
tion, wear some type of medical ID
jewelry or carry a medical ID card in
your purse or wallet.
E M E R G E N C Y M E D I C A L F O R M S
Be prepared
To download your forms, visit
www.morehealth.org/forms.
Standard
U.S. Postage
PAID
Walla Walla, WA
Permit No. 44
San Gorgonio Memorial Hospital
600 N. Highland Springs Ave.
Banning, CA 92220
Fully accredited,
ready for you
In May 2015, San Gorgonio Memorial
Hospital (SGMH) had its triennial Hospital
Accreditation Survey by the Center for Im-
provement in Healthcare Quality (CIHQ) and
was fully accredited for another three years.
CIHQ assists hospitals in the Centers for
Medicare & Medicaid Services certification
process and has provided the SGMH staff
with the tools and support needed for a
successful accreditation survey. SGMH met
the requirements for full accreditation un-
der the acute care accreditation program.
SGMH also had a laboratory accredita-
tion survey by The Joint Commission in
March 2015. Laboratory accreditation is
required every two years and is designed to
help organizations continually provide safe,
high-quality treatment and services. In May
2015, The Joint Commission granted SGMH
an accreditation decision of accredited
for all servicers surveyed under
the Comprehensive Accredita-
tion Manual for Laboratory and
Point-of-Care Testing.
VIBRANT HEALTH is published as a community service for the
friends and patrons of San Gorgonio Memorial Hospital,
telephone
951-845-1121
, website
www.sgmh.org.
Hospital Board of Directors
Chairperson
Dr. Jerilynn Kaibel
Healthcare District Board of
Directors Chairperson
Lynn Bogh Baldi
Hospital Chief Executive Officer
MarkTurner
Hospital Marketing Coordinator
Molly K. Ellis
Information in VIBRANT HEALTH comes from a wide range of medical
experts. If you have any concerns or questions about specific content
that may affect your health, please contact your health care provider.
Models may be used in photos and illustrations.
2015 © Coffey Communications, Inc. All rights reserved. LHN31489