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Patient Information


When you arrive to receive any sort of care at T.J. Samson Community Hospital, your first step will be the registration process. We work hard to expedite the registration process as efficiently as possible; however, we do ask that you arrive 15 minutes prior to your scheduled appointment to allow for registration. It is crucial that the staff collect pertinent information about you prior to administering services.


T.J. Samson offers pre-registration for patients who are interested in reducing their wait time at the hospital on the day of elective services. Pre-registration can be done in person or online. Online pre-registration must be completed 24 hours prior to service. For procedures scheduled for Mondays, online registration must be completed by noon of the preceding Friday. T.J. Samson Community Hospital is committed to maintaining patients' privacy. We have put in place appropriate physical, electronic and administrative procedures to safeguard and secure the information we collect from you. The information you transmit in your pre-registration form will be encrypted during transmission and we will only use the information you provide only to pre-register you for the appropriate service.

Fill out the pre-registration form

Living will

A Living Will gives you a voice in decisions about your medical care when you are unconscious or too ill to communicate. As long as you are able to express your own decisions, your Living Will will not be used and you can accept or refuse any medical treatment.

Living will packet (PDF)

Patient safety

At T.J. Samson Community Hospital, patient safety is always a priority. To truly be effective, however, our desire is that you and your family become part of our patient-safety team. One of the most critical components of this partnership will be to keep you informed and active in your care; therefore, we pledge the to following to each patient:

  • To provide you with information about your condition.
  • To make every effort to ensure you understand your diagnosis and treatment plan clearly, and know what to expect.
  • To inform you of any changes in your condition.
  • To encourage you to ask questions about any aspect of your care.