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Providence Surgery Center

Providence Surgery Center

High Quality, Efficient, Outpatient Care Since 1997

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Forms

You should have received a packet of information from your physician about Providence Surgery Center regarding your surgery or procedure. To help speed the registration process we ask that you fill out the forms located in your folder or you may download the forms listed below and bring the completed forms with you.

For Surgery Patients

Surgery Packet

Surgery-Packet-PDFDownload

Anesthesia Questionnaire

Anesthesia QuestionnaireDownload

For Pain Management Patients

Pain Management Packet

Pain-Packet-PDFDownload

Pain Management Questionnaire

Pain Management QuestionnaireDownload

Other Pertinent Information

Authorization for Release of Information

Authorization for Release of InformationDownload

Notice of Nondiscrimination & Accessibility Rights

Discrimination is Against the LawDownload

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