Inpatient consent form online https://mcloudws.mmh.org.tw/dmzadminfoa336/signin.aspx?hosp=tp
Notes on Hospitalization：

★In response to domestic COVID-19 epidemic prevention measures, the reminders for hospitalization and accompanying illness (please click me) are as follows:
一. Inpatients
(一)The entry person is hospitalized within 7 days (during the self-health management period):
        1. The patient is asked to take a self-test at home on the day of hospitalization, and enter the hospital with a negative photo of the home-use quick screening plate (one line) on the day.
        2. On the 3rd day after check-in, take a home-use rapid screening test (paid by the public reagent), and if it exceeds 7 days after entering the country, the test is exempted.
        3. For those who cannot comply with the above-mentioned regulations, it is recommended that the immigrant should be re-hospitalized after the self-health management period expires (7 days).
(二) Patients who are diagnosed with mild symptoms, please take a home-based quick screening test at home on the day of hospitalization, and apply for hospitalization with a negative home-use quick-screening plate (one line) negative photo; if the positive result is persistent, the admission will be postponed and the inpatient center will be voluntarily informed. For emergencies, please go to Seek emergency medical attention.
(三) For those with symptoms related to COVID-19, it is recommended to perform a negative home-based rapid test at home on the day of admission before coming to the hospital, and if the patient is positive for mild symptoms, the hospitalization is postponed.
二、Patient
     (1) The hospital is a place with a high risk of infection transmission. During the epidemic, try to avoid unnecessary accompanying (visiting) patients.
     (2) Those who have symptoms related to COVID-19, during the period of self-health management and entering the country (within 7 days), try to avoid coming to the hospital to accompany the sick. If it is necessary to accompany the sick, they should confirm negative results with a home quick test on the day of admission to the hospital (photo ) Accompanied by illness.
     (3) Those who are diagnosed should wait 10 days after the date of diagnosis and have no relevant symptoms before being admitted to the hospital to accompany the sick.
     (4) Accompanying patients should stay in their wards as much as possible except for necessary movement.
     (5) In order to protect the safety and rights of patients, it is not recommended to accompany patients under the age of 12, over the age of 75, and with low immunity.
★The obligation to truthfully inform the medical history, medical records, contact history, travel history
1. In order to avoid the risk of infection of front-line medical staff, Article 31 of the Law on the Prevention and Control of Infectious Diseases stipulates that medical institution personnel should ask patients about their medical history, medical records, contact history, travel history and other information related to infectious diseases when they see a doctor. matters; the patient or his family members shall make a truthful statement.
2. Violation of Article 31 of the Act on the Prevention and Control of Infectious Diseases shall be fined NT$10,000 to NT$150,000 in accordance with Article 69, Paragraph 1, Subparagraph 1 of the same Act.
★When entering the hospital and ward, please wear a mask, wash your hands frequently, and take your temperature.
三、If you need to hire a nurse during the hospitalization or co-employ a care attendant during the hospitalization. Introduction to jointly employing a nurse: Please contact the nursing station of each ward.
四、If you need to provide faith support and counseling, please tell the nursing staff at any time, so that you can contact the pastoral department, social service room, or counseling center to provide appropriate services.
五、Health Insurance Department "Health Passbook" Before seeking medical treatment, you can go to the website of the Central Health Insurance Administration of the Ministry of Health and Welfare to download your own "Health Passbook" with your natural person certificate or health insurance card for reference when you seek medical treatment, avoid repeated medical treatment, and achieve self-health care management the goal of.
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六、Our hospital is a smoke-free hospital. If you need to quit smoking, please contact the smoking cessation clinic.
七、During the hospitalization period, inpatients should abide by the health insurance and ward management regulations, and are not allowed to leave the hospital without authorization and are forbidden to bring electrical appliances to the hospital for use. (Chinese) (English) (Indonesian) (Vietnam) (Philippines)
八、In accordance with the "Regulations on Palliative and Palliative Medicine", the hospital provides the "Letter of Will to Pre-choose Palliative and Palliative Medicine and Life-sustaining Medicine", "Consent to Do Not Perform Cardiopulmonary Resuscitate", "Appointment of Medical Appointment Agent" "Book" and "Pre-Choose Hospice and Palliative Medicine and Life-sustaining Medical Care Decision Withdrawal Statement". If you need it, you can ask the inpatient center for a leaflet; or contact the Taiwan Hospice Care Association (02-28081585) for consultation.
九、If you are willing to sign an organ donation consent form, you can obtain it from the social service office or inpatient center; or contact the Organ Donation and Transplantation Registration Center of Foundation Legal Person 0800888067 for consultation.

Taipei . Tamsui