Preparing For Your Stay
At Syracuse Area Health, we want to make patients and visitors of all kinds feel welcome and comfortable. If at anytime you have a concern about your hospital stay or the stay of a loved one, please ask any SAH employee and we will answer any questions you may have. For your comfort and convenience please bring:
- Insurance information and identification, including all necessary authorizations
- Advance Directives
- Clothing such as a bathrobe, slippers and sleepwear
- Protective cases for your eyeglasses, hearing aids, and contact lenses
- Current medications you are taking, and dosage information
- For outpatient services, bring your doctor’s order for the diagnostic test(s) you will receive
- Please leave your valuables at home.
- Please arrive 10-15 minutes early to complete paperwork, especially if this is your first visit to Syracuse Area Health
Admitting and Registration
- You will be asked to sign the required Condition of Admission/Treatment form. Parents or legal guardians will be asked to sign for children under 19.
- You will receive information regarding your rights and responsibilities as a patient and will be asked questions regarding payment. These questions will give us the information to help make your stay and discharge more efficient and worry-free. It is necessary to present your insurance information to make sure it is current in our billing system.
Syracuse Area Health does not discriminate in admission or access to medical services and the provision of treatment based on race, color, national origin, age, disability, gender or religion. If you have questions regarding registration and admitting, please contact us.
Requesting Your Medical Records
Patients have the right to request a copy of their medical records at any time. To do so, please follow the steps below. Requests are typically processed within 10–14 business days.
- Download and complete the authorization form: Download the Authorization to Release Health Information form from the Important Forms & Documents section above. Fill it out completely, including your full name, date of birth, and the specific records you are requesting.
Sign and date the form: Your signature is required to authorize the release of your records. If you are requesting records on behalf of a minor or another individual, please include proof of legal authority (such as guardianship or power of attorney).
Submit your completed form: You may submit your form in any of the following ways:
In person: Bring the completed form to the Registration/Admitting desk at 2731 Healthcare Drive, Syracuse, NE 68446.
By mail: Mail the signed form to the address above, Attn: Health Information Management.
By fax or phone: Contact us at 402.269.2011 for fax instructions.
Receive your records: Once your request is processed, records can be provided as a printed copy or electronically. There may be a reasonable fee for copying and mailing printed records in accordance with Nebraska state guidelines.
Important Forms & Documents
- Authorization to Release Health Information
- Financial Assistance Application
- Notice of Privacy Practices
- Patient Health History Form (Annual Complete Physical/Wellness Exam)
- Patient Health History Form (New Patient - To Establish Care)
- Demographic Sheet
- COVID-19 Vaccination Consent and Screening Form
- Good Faith Estimate
- Your Rights and Protections Against Surprise Medical Bills