For our patients’ convenience, the following High Plains Surgery Center forms are available for download, printing, and completion.
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- Notice of Privacy Practices (English)
- Notice of Privacy Practices (Spanish)
- Patient Rights and Responsibilities
- Physician Ownership Statement
- Advance Directives Policy
- Patient Financial Responsibility
- Pre-Admission Patient Information
- Admission Agreement
- Health Questionnaire
- Consent for Treatment
- Permission for Disclosure of Information to Family, Friends, Caregivers
- Print all forms
