FORMS

As a paperless facility, CRMC strongly encourages electronic ordering whenever possible.

For patients with an established CRMC visit, all orders must be entered by the caregiver in Clinician Hub via Citrix.

Please select the process below that best meets your needs.

Pending Admission Process

(Excerpted from Admission Care Manager and Direct Admission Policies)

• The ED Physician or Physician Office must notify the Admission Care Manager of an impending admission by calling:
  912‑850‑8117 or 912‑384‑1900 ext. 6904
• A visit will be created and the patient placed in the PAU unit, allowing the physician to enter CPOE admission orders.
• Patients must arrive at the facility during Direct Admission acceptance hours:
  Monday–Thursday, 8:00 a.m. – 5:00 p.m. & Friday, 8:00 a.m. – 4:00 p.m.
• Upon arrival, Registration Staff will notify the Admission Care Manager and Patient Care Director.
• The Admission Care Manager will escort the patient to the unit as needed.
• If the patient is unstable upon arrival, the Admission Care Manager will:
  • Contact the physician, and
  • Route the patient to the Emergency Department (ED) for assessment prior to transfer to the inpatient unit.

Outpatient Procedures and Diagnostic Orders

CRH Physician Office Staff

• Printable CRMC documents are available through the CRMC Hub.
• Navigate to System Access → Access Passport.
• Sign in using your Citrix username and password.

Non‑CRH Physician Office Staff

• Orders and supporting documentation may be faxed to the Phreesia Fax Line:
  1‑866‑498‑1972

For Website Securities Forms

The Physician Confidentiality Agreement and Individual Confidentiality Agreement have been removed. All individuals requiring a confidentiality agreement are instructed to email it.support@coffeeregional.org to obtain the required form.

Additional Assistance

If none of the options listed meet your ordering needs, or if a printed document is required, please contact the appropriate CRMC department for further instructions.