Patient Forms

As a patient at Humble Surgical Hospital, you have many rights including rights over your medical treatment, your advanced directives and your medical records. This page gives you access to your Patient Rights and Responsibilities, forms for requesting Medical Records and other information that shall make your pre-surgical and post-surgical treatment informed and comprehensive.

At HSH also proudly operate and maintain complete Electronic Health Records and Registries for all of our patient encounters. As such, many documents you complete may be completed and stored digitally along with your Electronic Medical Records.

To request Medical Records, complete Advanced Directives Forms and more, you may download and submit the forms listed below and for further information, please call the hospital and we shall respond to your needs accordingly.

Downloads

HSH Patient Rights and Responsibilities Download PDF

HSH Medical Records Request Download PDF

HSH Advance Medica Directive Download PDF

HSH Do Not Resuscitate Form