VANDERBILT MEDICAL CENTER Medical Information Services Updated: 5/3/13 Note: THIS LIST SHOULD BE REFERENCED BEFORE SCANNING MC# Most Common Forms To Be Scanned VCH 4137 Advance Directive Assessment 2821 Agreement to Pay 2231 Declaration of Race and Ethnicity 0509 Consent (Immunization) 2803 Consent to Treat ALL Consents Surgical/Procedure 3642 Consent (Bean Sprouts) 2087 Controlled Drug Record 2806 Delivery Attendance Note 7452 Drawing/Diagraphs (Bhutani 6746 Falls Risk Assessment ALL Handwritten Physician Sheets No MC# Hearing and Screening Report History and Physical (Physician’s Evaluation 4280 Form) 4746 Laboratory Pregnancy) 5085 MAR (tpn) No MC# Newborn Identification 2984 Newborn Safety Information Form No MC# NICU History 2832 Notice of Privacy Practices 3898 Patient Teaching Record and Assessment 6437 Post-Anesthesia Discharge Instructions 0013 Pre-Procedure Checklist 3873 Respiratory Ventilation Record 6334 SBAR Patient Transfer Summary 2653 State Newborn Screen No MC# Transfusion Administration Record
VANDERBILT MEDICAL CENTER Medical Information Services Updated: 5/3/13 Note: THIS LIST SHOULD BE REFERENCED BEFORE SCANNING Most Common Forms To Be Scanned MC# VCH Advance Directive Assessment 4137 Agreement to Pay 2821 Declaration of Race and Ethnicity 2231 Consent (Immunization) 0509 Consent to Treat 2803 Consents Surgical/Procedure ALL Consent (Bean Sprouts) 3642 Controlled Drug Record 2087 Delivery Attendance Note 2806 Drawing/Diagraphs (Bhutani 7452 Falls Risk Assessment 6746 Handwritten Physician Sheets ALL Hearing and Screening Report No MC# History and Physical (Physician’s Evaluation Form) 4280 Laboratory Pregnancy) 4746 MAR (tpn) 5085 Newborn Identification No MC# Newborn Safety Information Form 2984 NICU History No MC# Notice of Privacy Practices 2832 Patient Teaching Record and Assessment 3898 Post-Anesthesia Discharge Instructions 6437 Pre-Procedure Checklist 0013 Respiratory Ventilation Record 3873 SBAR Patient Transfer Summary 6334 State Newborn Screen 2653 Transfusion Administration Record No MC#
VCH%20Common%20Forms%20Updated%205-3-13.docx