Patient Forms/Manuals

To make your experience with Covenant Health System as convenient as possible, below we’ve provided many of the medical forms and educational manuals you may need for your visit to our hospital. To view them, you will need Adobe Acrobat Reader. Simply click on the form(s) you need:

• Advance Directive page - English
• Advance Directive page - Spanish 
• Avalanche-Journal birth announcement form
• Medical power of attorney - English 
• Medical power of attorney - Spanish
• Patient admission checklist
• Release of Information - From Covenant
• Release of Information - To Covenant 
• Preferences for emergency treatment
• Instructions for surgery patients
• Spanish instructions for surgery patients
• Spinal surgery patient education manual
• Tobacco-free manual
• Total hip replacement patient education manual