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:
- 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
- Condition of Admission English View
- Condition of Admission Spanish View
- Advance Directives English View
- Advance Directives Spanish View
- Patient Rights English View
- Patient Rights Spanish View
- Patient Responsibilities EnglishView
- Patient Responsibilities SpanishView
- BVSC Brochure View
- No Surprises Act Disclosure View