Patient Services

As the Commanding Officer of U.S. Naval Hospital, Guam, my primary concern is the health care received by you, our beneficiaries, is the best available. The staff here at the U.S. Naval Hospital on Guam recognizes you as "OUR PATIENTS", and are here to service your health care needs.

TRICARE Online Patient Portal (TOLPP) Decommissioning Update

TOL PP, consisting of Secure Messaging and TRICARE Online, is in the process of being replaced by the MHS GENESIS Patient Portal (MHSG PP).

All sites have transitioned to MHSG with the exception of Captain James A. Lovell Federal Health Care Center (FHCC). U.S. Naval Hospital Guam is targeted to transition at the end of January 2024 (Tentative) and FHCC is scheduled for end of March 2024.

Secure Messaging will begin decommissioning on 1 November 2023 and will no longer be accessible by patients.

Please delete and discontinue use of bookmarks to tolsecuremessaging.com.

Health Record Data available until October 1, 2024.

Download and save your Health Record data. For instructions on how to print your Health Record Data, visit your
TRICARE ONLINE PATIENT PORTAL, TOL Health Record Section/FAQs or click here.

Secure Messages available until November 1, 2023.

Patients will lose access to all secure messages. For more information and instructions on how to download/print important messages, click here.

For more information on the TRICARE ONLINE Patient Portal Decommissioning, click here.

Patient Information Topics

Access To Care

All patients presenting for treatment (age ten and above) are required to show a valid Uniformed Service Identification Card before treatment will be rendered. The only exception is in the case of a serious medical emergency. The health record is required for all visits to the hospital. If the dependent health record has not been transferred from your previous military medical facility, you may arrange to have this done in the Medical Records Department. A temporary record will be prepared for use in the interim. The legal age of adulthood in Guam is eighteen (18) years. All dependent children under the age of eighteen (18) must be accompanied by a parent or legal guardian when presenting for health care. There are exceptions to this rule which can be explained to you by the patient Admin Department. Parents who are planning a vacation or other absences (where dependent children might potentially require medical care when a parent is not available) are advised to obtain a Medical Power of Attorney, through the Legal Officer located in Patient Administration to give to the person that will be caring for the children.

Medical Treatment Facility (MTF) Rules and Regulations

The patient has the right to be informed of the facility's rules and regulations that relate to patient or visitor conduct. The patient should be informed about smoking rules and should expect compliance with those rules from other individuals. Patients are entitled to information about the Medical Treatment Facility and Dental Treatment Facility mechanism for the initiation, review, and resolution of patient complaints. ADVANCE DIRECTIVES. The patient has the right to make decisions regarding his/her medical care. He/She also have the right to appoint someone to make medical decisions for him/her if he/she cannot make those decisions for himself/herself. The person that he/she appointed must be an adult, at least 18 years of age and is called an agent. The document in which he/she appoints that person and/or leaves directions regarding his/her care is called an Advance Directive. TRANSFER AND CONTINUITY OF CARE. When medically permissible, a patient may be transferred to another facility only after the received complete information and explanation concerning the needs for and alternatives to such a transfer. The institution to which the patient is to be transferred first must have accepted the patient for the transfer. CHARGES FOR CARE. Patients have the right to be informed of their per diem rate and their obligation for payment.

Patient Responsibilities

1. Providing Information. The responsibility to provide, to the best of his or her knowledge, accurate and complete information about complaints, past illness, hospitalizations, medications, and other matters relating to his or her primary health care provider know whether he or she understands the treatment and what is expected of him or her.
2. Respect and Consideration. The responsibility for being considerate of the rights of other patients and MTF of DTF health care personnel and for assisting in the control of noise, and the number of visitors. The patient is responsible for being respectful of the property of other persons and of the facility.
3. Compliance with Medical Care. The responsibility for complying with the medical and nursing treatment plan, including follow up care, recommended by health care providers. This includes keeping appointment on time and notifying the MTF and DTF when appointments cannot be kept.
4. Medical Records. The responsibility for ensuring that medical records are promptly returned to the medical facility for appropriate filing and maintenance when records are transported by the patient for the purpose of medical appointments or consultation, etc. All medical records documenting care provided by any MTF or DTF are property of the U.S. Government.
5. MTF and DTF Rules and Regulations. The responsibility for following the MTF or DTF rules and regulation effecting patient care conduct. Regulations regarding smoking should be followed by all patients. Reporting of Patient Complaints. The responsibility for helping the MTF or DTF commander provide the best possible care to all beneficiaries. Patients' recommendations, questions, or complaints should be reported to the patient contact representative.

Patient Safety Tips

Remember these safety tips while you're in the hospital:

• Follow the physician's and nurse's orders and instructions about treatment, diet, activity, etc.
• Be careful getting into and out of bed and moving about the hospital.
• Practice using unfamiliar equipment such as crutches, wheelchairs, etc.
• Ask for help when you need it - don't be afraid or embarrassed.
• DO YOUR part to make your hospital stay as pleasant and SAFE as possible.
• This is Required: Check with the nursing staff before plugging in any electrical appliances from home, i.e., radio, TV, VCR, computer, typewriter, calculator, etc.

In case of Fire or fire drill, all inpatients shall promptly return to their respective wards when the fire alarm sounds. All outpatients should check with desk clerks for information or assistance.

Smoking Policy

Smoking is not allowed in the hospital. All patients and family members must use the designated smoking areas located outside the hospital.

Patient Valuables

To protect and secure valuables, there is a patients' valuables safe for depositing valuables at the time of admission. It is located in the Patient Administration office located on the first floor J-Wing. You are reminded to pick up your valuables on Friday prior to 1600 if you are planning to leave the hospital on Saturday or Sunday. Unfortunately, there is no storage space for baggage.