Required Forms

If this is your first visit with Surgical Associates you will need to provide information that will enable us to register you in our electronic medical record. In order to reduce the amount of time you will spend in the office doing paperwork we ask that you download the three forms listed below, complete them at home, and bring the completed forms with you to your visit.

Download Medical History Form (PDF)

Download Body Systems Review Form (PDF)

Download Registration Form (PDF)

Download Privacy Practices Form (PDF)

Download Financial Agreement Form (PDF)

Download No Show, Cancellation and Co-Pay Policy (PDF)