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Advanced Care Plan (Living Will) Appointment of a Health Care Agent Billing and Insurance In Case of Emergency Forms Medical Records Release and Privacy Statement Patient Rights and Responsibilities Prescription Refills Privacy Statement
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CDC Link National Library of Medicine National Institute of Health Medline Plus View Our Videos Susan G Koman Prosthetics
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General Surgery Vascular Surgery Laparoscopic Surgery Bariatric Surgery Surgical Oncology Breast Surgery CT Centre Vascular Laboratory General Ultrasound Prosthetic Services
Patient Information
- Advanced Care Plan (Living Will)
- Appointment of a Health Care Agent
- Billing and Insurance
- In Case of Emergency
- Forms
- Medical Records Release and Privacy Statement
- Patient Rights and Responsibilities
- Prescription Refills
- Privacy Statement
Patient Information
Thank you for choosing The Surgical Clinic, PLLC, we appreciate your confidence in our ability to care for your surgical needs.
For your convenience, several informational forms regarding medical records, confidentiality and privacy are available by linking to the left.
Please bring the following information with you:
- Insurance Cards
- Medication bottles or current list
- Imaging Films or reports related to your condition
- Co-pay or Co-insurance if required
- Picture ID