One Medical Passport
Thank you for choosing Northwest Hills Surgical Hospital for your procedure. To start the pre-surgical assessment process, NWHS requests that you fill out your medical history on-line with ONE MEDICAL PASSPORT.
For your convenience, click on the following link for your online pre-registration . Registration is designed to be quick and easy, and completing the form should take you 20-30 minutes depending on medical history. We recommend you do this as soon as your surgery has been scheduled. This information will assist us in preparing for your surgery. Be sure to have your health insurance information and the following before starting:
- The names, addresses and phone numbers of your physicians.
- A list of all medications you are taking, their dosage, and frequency.
- A list of surgical procedures you have ever had.
- The name of the surgeon who will be performing your upcoming procedure.
About One Medical Passport
ONE MEDICAL PASSPORT is a website that allows you to enter your information at any time from anywhere. You can also print out a copy of your medical history after you create it online and keep it with you or with your other health care documents, and have access to it online anytime you need it or want to update it.
Please fill out the questionnaire accurately. Rest easy, knowing that all of your information is kept confidential and will be thoroughly reviewed by your medical team.
ONE MEDICAL PASSPORT uses the highest grade of Internet security available: 128 bit encryption with SSL (secure socket layer) technology. Your information is stored on servers at a secure web-hosting site and will only be released to your medical team.Your information is never released to anyone other than your medical team.