Patient Forms

General Forms

• File

  Patient Registration
• File

  Speak Up
• File

  Pre-op Instructions/Baader
• File

  Pre-op Instructions/Eye
• File

  Pre-op Instructions/Yin
• File

  Pre-op Instructions/Generic
• File

  Patient Rights & Responsibilities
• File

  Medication List
• File

  Health Status Questionnaire
• File

  Non-Discrimination Notice
• File

  Non Discrimination Notice (Spanish)
• File

  Advanced Directives
• File

  Right to Receive a Good Faith Estimate of Expected Charges
• File

  Notice Regarding Patient Protections Against Surprise Billing