• Date of admission
• Patient's full name, middle initial
• Patient's current address, phone number
• Patient's date of birth, mother's maiden name
• Patient's sex, race
• Patient's Hopkins medical record number, if any
• Previous Hopkins admission date
• Physician's name/service specialty/code number
• Provisional diagnosis (not procedure)
• Nature of admission (elective, urgent, emergency)
• Required preadmission tests
• Estimated length of stay
• Accommodation desired (private or semi-private room)
• O.R. date/time/procedure
• Plan of treatment, including medical justification for preoperative day
• Source of admission (patient is to come from home, hospital, nursing home)
• Referring physician name/address/telephone number
• Insurance information, primary and secondary
  
  

For questions related to insurance, preadmission authorization requirements or estimate of hospital costs, call 410-955-6055 or 410-955-6056, Monday through Friday, 8 a.m. to 5 p.m.

Reservations for elective admissions are contingent on the availability of beds on the day of admission. Requests for single rooms are honored, whenever possible. Every attempt will be made to contact the patient by either mail or telephone to collect all additional pertinent information and provide information to the patient regarding admission.