Referrals/Forms 

The Ohio State University Medical Center physicians represent virtually every specialty and subspecialty in medicine. Click on the following links for PDF forms and a PDF of our Service Referral Guide, which includes phone numbers for making patient appointments and a list of all the clinical services available, from anesthesia to wound healing.
(documents will open in a new window)

Informed Consent 

According to Ohio Law and hospital policy, physicians are responsible for obtaining informed consent. When physicians obtain proper informed consent, patients truly understand their plan of care. Following are links to the Medical Center's Informed Consent policies, the Informed Consent Forms and a list of surgical/medical procedures for which obtaining informed consent is required. Note: links will open in a new window.


Informed Consent Policies

Policy for the Ross Heart Hospital, University Hospital and University Hospital East (78K)

Policy for The James (76K)

Summary of Changes to the Informed Consent Policies for University Hospital and The James - dated August 2007 (28K)

Informed Consent Forms

Ohio State's Health System (including University Hospital, Ross Heart Hospital and University Hospital East) and The James (30K)

Surgical/Medical Procedures Requiring Informed Consent  (25K)

Disclosure for Blood and Blood Product Transfusion (24K)

Medical Record Forms

Heart and Vascular MRI/CT Imaging Orders (460K)

OSU Electrophysiology Program Referral -- Patient Scheduling/Referral Form (55K)


Other FormsOSU Medical Center Service Referral Guide (280K)

Tips for Transferring Patients (1MB)

Viewing the above documents requires Adobe Reader.
Click below to download it for free.
Get Acrobat Reader

For services not listed or for additional information on a particular service, please call 1-800-293-5123, 8 a.m. to 5 p.m., Monday through Friday. The line is covered after hours, weekends, and holidays for urgent calls only, please.

http://medicalcenter.osu.edu/referringphysicians/patientreferrals/index.cfm