Welcome to Sheridan Memorial Hospital

1401 West 5th St. Sheridan, WY
   —   307.672.1000


Your Details

Emergency Information

Consider wearing a medical alert bracelet if you have any medical conditions or allergies to medication that should be made known to emergency personnel.

Coronavirus Evaluation Form

The Centers for Disease Control and Prevention (CDC) is closely monitoring the Coronavirus (COVID-19) outbreak that originated in China and subsequently has spread internationally. Due to the outbreak, the CDC recommends healthcare professionals have increased awareness and preparedness. SMH Leadership and Employee Health will continue to follow the progression of the outbreak and communicate updates as they occur.

To help ensure the safety of healthcare workers and patients, please complete the following questions. Please reach out to SMH Employee Health Nurse or Onboarder if you have questions regarding the information on this form.

To be completed by the Authorized SMH Staff.
6. Is there evidence of Coronavirus (COVID-19) or possible exposure Yes No
Reviewer Name:__________________________________________Date:_____________________

***If you have plans to travel to an area affected by Coronavirus (COVID-19), please advise your manager and Employee Health Nurse immediately. ***

Please visit the CDC website at https://www.cdc.gov/coronavirus/2019-nCoV/index.html for more information on the Coronavirus (COVID-19) outbreak.

Code of Conduct

Sheridan Memorial Hospital (SMH) prides itself in providing quality, competent, and excellent patient- centered care. To help achieve our organizational vision, we are committed to holding all members of SMH to the highest legal and ethical standards. Those SMH Members include everyone from the Board of Directors, to senior level administrative staff, physicians, vendors, and all employees.

This Code of Conduct serves as a guide to SMH Members regarding the responsibility we all share to provide quality patient-centered health care and to conduct all patient care and business activities ethically, with integrity, and consistent with applicable laws and regulations. It is also intended to help SMH Members recognize, understand, and fulfill their responsibilities in preventing and detecting violations of SMH policies and procedures, regulations, and the law.

This Code of Conduct provides a summary of the conduct expected of all SMH Members. SMH Members should also consult specific SMH policies and procedures which apply to their duties at SMH. All SMH Members are responsible for being familiar with, and abiding by, this Code of Conduct and other policies/ procedures governing their conduct at SMH.


The Compliance Department is committed to preventing, detecting, and resolving improper, unethical, and illegal conduct, and violations of law, regulations, and policies and procedures. Through an effective Compliance Program, the Compliance Department will help maintain the integrity of the organization by requiring compliance with applicable regulations and laws and evaluating the effectiveness of the Compliance Program and any policy and procedure through independent investigations and audits.


SMH Members shall adhere to the following conduct:

  1. Non-retaliation: SMH will not take any adverse action or retribution against any employee due to the good faith reporting of a suspected violation or issue.
  2. Scope of Practice: Conducting NO activity that is outside of your profession’s scope of practice.
  3. Duty to Report Illegal and Unethical Activity: SMH Members shall obey and report any suspected violations of the following:
    1. a. Federal, state, and local laws and government regulations
    2. b. Health system policies and procedures
    3. c. Organizational rules and regulations
    4. d. Compliance Program
    5. e. Code of Conduct
  4. Clinical Documentation: All clinical professional services will be documented in the medical record, and all documentation will comply with applicable payer regulations. At a minimum, the medical record should establish medical necessity and only reflect treatment for services actually rendered.
  5. Accurate Coding and Billing: All clinical professional services will be coded to accurately reflect the documentation in the medical record. All claims shall be submitted in compliance with applicable payer regulations or requirements.
  6. Kickbacks and Bribes: SMH Members will not knowingly and willfully solicit, receive, offer or pay anything of value directly or indirectly, in cash or in kind, in exchange for patient referrals.
  7. Cooperation in Government Investigations: SMH Members will not knowingly and willfully:
  8. a. Falsify, conceal, or cover up a material fact
    b. Make any false, fictitious, or fraudulent statement or representation, or
    c. Make or use false writing or documents known to contain false, fictitious, or fraudulent statements in information submitted to the government; this includes submitting claims for services not medically necessary or not actually provided.
    8. Conspiracy to Commit Fraud: SMH Members will not conspire to defraud any government agency or healthcare benefit program in any manner, for any reason.
    9. Emergency Medical Treatment and Active Labor Act (EMTALA): No person shall be denied emergency medical treatment or denied medical services when in active labor, regardless of his or her ability to pay.
    10. Health Insurance Portability and Accountability Act (HIPAA): SMH Members shall not disclose any protected health information without proper consent from the patient, for any purpose outside of treatment, payment, or hospital operations.
    11. Other Applicable Laws, Regulations, Policies and Procedures: SMH Members shall be familiar with, and abide by, other laws, regulations, policies and procedures governing their conduct at SMH.


SMH Members should feel confident in reporting any transaction or conduct which is, or may be a violation of any SMH policies and procedures, this Code of Conduct, or any federal, state or local law. For compliance issues, employees may report concerns to any of the following resources:

 Immediate supervisor
 Compliance Officer at 675-2669, or by email at: compliance@sheridanhospital.org
 Anonymous Reporting Hotline: 307-673-2410
 Mail: Attn: Compliance Officer 1401 W 5th Street Sheridan, WY 82801
Any good faith reports regarding violations of SMH policies and procedures, this Code of conduct, and any federal, state, or local law are subject to SMH’s policy on Non-Retaliation. It is important to note, however, that any abuse of this system to knowingly report false information subjects the employee to disciplinary action. Failure to follow SMH policies and procedures, this Code of Conduct and any federal, state, or local law may be grounds for disciplinary action.
Anyone, including SMH Members, may use the anonymous reporting hotline for any known or perceived violations of this Code of Conduct, or any SMH policy and procedure, or any federal, state or local laws.
At the request of the reporting party, and to the extent we are able, we will maintain the anonymity of the person who reports the violation. However, when the law compels us to do so, we will disclose the identity of the reporting party.
This Code of Conduct is about both empowerment to do the right thing, and accountability when errors are found. SMH Members are expected to take the initiative and obtain answers for their questions. No concern is too small or unimportant if it is believed to involve violations of SMH policies and procedures, regulations, or the law.


My signature below acknowledges that I have read and reviewed this Code of Conduct and that I understand and agree to comply with the standards contained therein and all related policies and procedures. I acknowledge that the Code of Conduct is only a statement of principles for individual and business conduct, and does not constitute an employment contract. I will report any potential violation of which I become aware promptly to my Manager / Supervisor or the Compliance Officer. I understand that any violation of Sheridan Memorial Hospital policies, this Code of conduct, and any federal, state, or local law may be grounds for disciplinary action.

Sheridan Memorial Hospital Confidentiality Agreement

Sheridan Memorial Hospital (SMH) recognizes the importance of the protection of confidential information concerning patients, their families, medical staff, co-workers and the operations of the Hospital. It is the intent of Sheridan Memorial Hospital and the undersigned individual to maintain the privacy of Protected Health Information (PHI) in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the privacy regulations published by the U.S. Department of Health and Human Services (DHHS), and any other applicable State and Federal laws and/or regulatory agency rules and regulations.

“Confidential Information” denotes all information acquired by an individual in the course and scope of their employment and/or their association with Sheridan Memorial Hospital whether that information is obtained by discussion (direct or overheard), consultation, examination, treatment, and or direct access to records.

It is the obligation of the undersigned individual to maintain the confidentiality and privacy of PHI to the best of their ability and to divulge/share only the minimum amount of PHI necessary for another authorized individual with a valid “need to know” to do their assigned tasks.

As a member of Sheridan Memorial Hospital’s workforce, I

do hereby agree that I will:

  1. Protect the confidentiality of patient and hospital information.
  2. Not divulge/share unauthorized information to any source.
  3. Not access or attempt to access information other than that information which i have authorized access to, and a need to know, in order to complete my assigned tasks.
  4. Report breaches of this confidentiality agreement by others to Sheridan Memorial Hospital’s Compliance Officer. I understand that failure to report breaches is an ethical violation which may subject me to disciplinary action up to and including termination.

I have read and agree to adhere to the conditions of this confidentiality agreement. I also acknowledge that any violation of the above conditions can result in disciplinary action up to and including termination.

Badge Access Form

Registered Nurse


My signature below acknowledges that I have read, reviewed and completed the forms for the Emergency Onboarding request packet available to me on the Sheridan Memorial Hospital website. I also acknowledge that completing this packet does not guarantee a volunteer position. If I am selected, there are additional steps to complete prior to me actively volunteering at Sheridan Memorial Hospital.

  • SMH Personnel Form: Non-Employees
  • Emergency Contacts
  • COVID-19 Assessment Form
  • Code of Conduct/Acknowledgement
  • Confidentiality Agreement
  • Badge Access Form