Clinical Forms

• DNR/DNI/Family Healthcare Decision Act (FHCDA)
• Patient List
• NIHSS & Thrombolytic Contraindications
• Universal Pain Scale,  2.0 Version

Medical Examiner Forms and Resources

• OCME Clinical Summary Worksheet V3
• OCME Website – Reporting a Death

FDNY/EMS

• FDNY/EMS ED Notification sheet (July 2020)

Radiology Forms

• Elmhurst MRI Patient Safety Screening Checklist

All EHC Consents 

• General EHC Essential Documents Directory
• NYC HHC FORMS PAGE (all forms)
• EHC Arterial Line English / Spanish
• EHC Central Line English/ Spanish
• EHC Chest Tube English/ Spanish
• EHC Lumbar Puncture English / Spanish
• EHC Procedural Sedation English/ Spanish
• EHC Transfusion English / Spanish
• Blank Invasive: English / Spanish
• Blank Transfusion:  English / Spanish

CPORT Consents

• English, Spanish, Arabic, Bengali,Chinese,  Hindi, Korean, Polish,Russian

Study Forms

• RUSH Study

Residency Evaluation Forms

• *****EM Resident Rotation Evaluation Form*****
• Faculty-Resident Pairing, Faculty-RL Pairing &  Orange Shift Cards
• OFF-SERVICE ROTATION Resident Evaluation Form (by attendings for residents)
• Senioring Evaluation Form
• Morning Report Evaluation Form
• SDOT – Standard Direct Observation Tool
• Trauma Leader Evaluation
• Code Leader Evaluation Form
• Critical Care SDOT
• TR Chart Audit Form

Interdepartmental Reporting

• External-Case of Concern Form(complete form and email to APDs)
• External – Request for Action Form(to be completed by APDs)
• Elmhurst Hospital-Wide Code of Behavior Report (intranet)

ED Violence

• Elmhurst Workplace Violence Page (intranet)
• Elmhurst Hospital Workplace Violence Reporting Form (intranet)

Speaker Release Form

• Speaker Release

Fast Track Stuff

• Dental Referral Sheet