309.662.6120 Phone
800.466.8275 Toll Free

Patient Forms

Your physician office should give you the medical passport TCOM Surgery Registration handout once your procedure is scheduled.

The Center for Outpatient Medicine requires that you complete an online pre-admission with One Medical Passport. Please take the time to complete your One Medical Passport as soon as possible. The website guides you to enter your medical history online and helps TCOM determine if any pretesting (i.e. bloodwork, EKG, anesthesia visit, etc) is required PRIOR to your surgery.

*Delay in completing could result in your surgery being cancelled unnecessarily.

If you are unable to complete online patient registration, please call 309-662-6120 ext. 335 during business hours for assistance.

Online Medical Passport