Patient Registration Forms & Privacy Notices

If you are a new patient, please fill out the forms listed below in advance of your appointment to assist the Coastal Surgery Center staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

Patient Forms

In order to expedite your check-in at our offices, please take a moment to fill out our patient registration formsĀ online.

Patient Forms
Click Here to Sign Document

Patient Registration

Once you have been approved for surgery, please complete the following Patient Preop Forms and bring them with you to your next office visit.

PDF

Preop Paperwork

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

*** Privacy Notice Coming Soon ***

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