ETASC Patient Surgery Information

In an effort to provide complete instructions about your procedure and the information required, we have listed below all the forms and documents you will need to process.

Pre-Admission Visit, Forms, and Information

Your physician's office should schdedule a pre-admission appointment with us prior to your surgery. During this appointment you will need to provide personal, medical and insurance information to our pre-admission staff. The forms they will use are listed below and may be printed, filled out inadvance, and brought to your appointment. This will expedite the pre-admission process.

You will also be given information concerning patient right's, anesthesia risk, and other information relating to healthcare privacy.

Required Forms and Information

Please download, print, and bring these forms to your appointment:

- Before Surgery Instructions
- Pre-Admission Part 1
- Pre-Admission Part 2
- Anesthesiology Pre-Operative Questionnaire
- ETASC Payment Policy

You MUST review these documents BEFORE your surgery date:

- Anesthesiology Risk Information
- Notice of Privacy Practices and Protected Health Information
- Disclosure of Ownership

Useful Information About Your Experience

The day before your surgery will be one of preparation, the day of surgery experience begins with check-in at the registration desk, and the day following surgery is one of follow up by our staff. Get more details with these documents.

- Day Before Surgery
- Day Of Surgery
- Day After Surgery