Major illness notification template

When the patient's condition deteriorates, the hospital will issue a notice of critical illness. The following is my critically ill notice. Please read it for your reference.

Article 1 Critically Ill Notice Relatives:

Sex, age, bed number and medical record number of the patient.

Diagnosed as being hospitalized in our hospital. Although actively treated, the condition is getting worse and may be life-threatening at any time. We hereby issue an urgent notice.

Nevertheless, we will actively treat it. Please understand and cooperate. If you have other requirements, please send an email to. Emergency notice? Tell our department immediately after that.

Doctor's signature: date: year month day hour.

Signature of relatives:

The relationship between relatives and patients:

ID number: Date: Year Month Day Hour.

Hospital department

(This notice is in duplicate, one for the hospital and one for the patient's relatives)

Critically ill notification Article 2 Relatives:

Internal medicine _ _ _ _ _ _ _ bed in hospital,

The diagnosis is that despite active treatment, the condition is getting worse and worse.

May endanger life at any time, issued a notice of serious illness (danger). Nevertheless, we will take effective measures.

Give active treatment. At the same time, I would like to inform you that the hospital can't get your consent in advance in order to save patients.

I will use and adopt necessary instruments, equipment and treatment departments for emergency treatment according to the needs of rescue work.

Please understand, cooperate and support. Please contact us if you have other requirements. Critical (dangerous) notice?

Tell our department immediately after that.

Yingshang Union Medical College Hospital Chaoyang Branch Department: Internal Medicine

Doctor's signature: date: year month day hour.

Signature of relative/guardian: date: year month day hour.

The relationship between relatives and patients:

ID number:

(This notice is in duplicate, one for the hospital and one for the patient's relatives)

Critical notice Article 3 Family members comrades:

The patient (Mr. and Ms.) is in our hospital now. Despite active treatment, the condition is getting worse and worse, which may be life-threatening at any time. I hereby inform him that he is seriously ill (dangerous). Nevertheless, we will take effective measures to actively treat it. At the same time, I inform you that in order to rescue patients, the hospital can use and adopt necessary instruments, equipment and treatment methods for emergency treatment according to the needs of rescue work without your consent. Please understand, cooperate and support. If you have other requirements, please inform our department immediately after receiving the "notice of serious illness (danger)".

Doctor's signature:

Signature of relatives/guardians:

The relationship between relatives and patients:

Year, month, day and hour of xxx Branch of xxx Hospital