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