General Forms

• File

  Patient Information
• File

  Pre Op Health Questionnaire
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  Standard Pre Op Instructions
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  Local Pre Op Instructions
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  Facility Fee
• File

  Patient Rights and Responsibilities
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  Arbitration
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  HIPAA PRIVACY
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  NON DISCRIMINATION NOTICE
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  NON DISCRIMINATION NOTICE (SPANISH)
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  Right to Receive a Good Faith Estimate of Expected Charges
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  Notice Regarding Patient Protections Against Surprise Billing