Patient Forms

• Cash Patient Registration Form
• Patient Rights
• Privacy Notice
• Advance Directive
  Advance Directive is a document such as Durable Power of Attorney for Healthcare or a Living Will. Per Medicare guidelines, we are required to ask prior to surgery if you have one and if so, to bring it with you the day of surgery to be placed in your medical record. The attached is an example of the from you will be asked to sign.
• Patient Satisfaction Survey