Western Surgical Group.

The following Forms are provided for Patients to print and fill out and bring into the office.
Filling these forms out helps streamline office visits and saves time.

HIPAA Privacy Statement
Download form

Bariatric Surgery Patient Health Information
Download form

Contracted Facilities
Download form

Receipt Of Patient Privacy Statement
Download form

Patient Demographic Information
Download form

Financial Polilcy Form
Download form

General Surgery Patient Information
Download form

Release of Personal Health Information
Download form

Patient Consent Form
Download form



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	Downloadable Forms

	The following Forms are provided for Patients to print and fill out and bring into the office. Filling these forms out helps streamline office visits and saves time. HIPAA Privacy Statement Download form Bariatric Surgery Patient Health Information Download form Contracted Facilities Download form Receipt Of Patient Privacy Statement Download form Patient Demographic Information Download form Financial Polilcy Form Download form General Surgery Patient Information Download form Release of Personal Health Information Download form Patient Consent Form Download form
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Downloadable Forms