Buena Vista Surgery Center

Patient Forms

As you prepare for your procedure at Buena Vista Surgery Center, we would like to invite you to print out the check-in forms below, fill out and sign at home, and bring with you on your procedure day. This will save you time upon check-in and will allow for a more relaxing experience overall.

At check-in, we will ask for the following items:

  • Patient Check-in Packet Download
  • Drivers License
  • Copays/Facility Fees due (if applicable)

Below is a list of general forms for your review. These forms are simply for your reference, you do not need to download or bring these forms with you.

  • Notice of Patient Privacy View
  • Patient Rights EnglishView
  • Patient Rights Spanish View
  • Patient Responsibilities EnglishView
  • Patient Responsibilities SpanishView
  • BVSC Brochure View