Patient Forms
PLEASE BRING THESE FORMS WITH YOU ON THE DAY OF YOUR PROCEDURE
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Patient Rights and Notification of Physician Ownership
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Receipt of Privacy Practices
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Medication Reconciliation Form
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Insurance Authorization Form
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SFI Surgery Centers Form
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Patient Demographics
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Medical History
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Living Will
PLEASE REVIEW THE NOTICE OF PRIVACY PRACTICES, THEN BRING THE ABOVE RECEIPT OF PRIVACY PRACTICES SIGNED WITH YOU THE DAY OF SURGERY