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Patient Registration Forms & Privacy Notices

If you are a new patient, please fill out the forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

Registration Forms

Pre-Op Instructions

These instructions will be presented during your pre-operative appointment. It includes important details about calling in the day before surgery to determine the exact time of your appointment, plus details to better prepare you for surgery.

Your signature is required on this form.

Patient Rights & Responsibilities

We respect our patients’ dignity and pride. This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan.

Bill of Rights

Please review to better understand the Florida Patient's Bill of Rights and Responsibilities.

Physicians Ownership

This form discloses the Tallahassee Outpatient Surgery Center's affiliation with physicians.

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

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