OSPINE SURGICAL CENTER
PATIENT FORMS
Please find the attached forms for your review. If you have any questions regarding the forms and/or their content, please feel free to contact us. This information will be again reviewed with the patient on the day of the surgical procedure.
FORMS
- Advance Directives
- Assignment of Benefits
- Designated Individuals Authorization
- HIPAA Consent Form
- Notice of Disclosure of Financial Interest for the OSpine ASC
- Patient Bill of Rights
- Medical Records Release
- Notice of Patient Information Privacy Practices