Intermountain Healthcare
Online Health History Forms
Several Intermountain surgical and endoscopy services provide the Online Health History form for surgery or endoscopy procedures, which can be completed and submitted online in a secure electronic format:
For complete information and contact numbers for Intermountain's surgical and endoscopy services:
IMPORTANT: Some hospitals provide surgical and procedure services at more than one location. To be sure your history form is sent to the right facility, please confirm exactly where your surgery or procedure will be performed, by contacting your surgeon's or doctor's office.
Surgical Services
Endoscopy Centers
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