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Accredited by Accreditation Association for Ambulatory
Health Care, Inc.
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PATIENT INFORMATION - SURGERY CHECKLIST
- Advance Directive Form (signed & dated)
- Patient Rights and Responsibilities Form (signed & dated)
- Notice of Patient Privacy Practices Form (signed & dated)
- Registration Form (signed & complete)
- Patient Medication Form and/or list of all medications (signed & dated)
- Wear comfortable, loose fitting clothes
- Leave all jewelry and valuables at home
- Bring cases for eyeglasses, contacts, or dentures
- Bring insurance identification cards, driver's license, co-payments, etc.
- Make sure you have a ride home, and someone to take care of you when you get home
- Remove any body piercing and/or jewelry
- Have all pre-registration forms filled out, or be ready to do so at the center
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