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The Surgery Center of South BayThe Surgery Center of South Bay

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Patient Forms

At Surgery Center of South Bay, your time is as valuable to us as it is to you. Upon scheduling your surgery, a member of our staff will provide you with the required forms to fill out. We encourage you to take time to complete these before arriving on day of surgery, so that we may care for you promptly. If you happen to misplace any of the provided forms, duplicates are available for download and print below.

Advanced Directives

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Notice of Privacy Practices

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Information of Separate Billing Notice

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Mission, Vision and Values

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Multiple Authorization

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Patient Information Guide

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Patient Registration

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Patient Rights and Notification of Physician Ownership

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Request for Anesthesia

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Surgery Center of South Bay
23500 Madison Street,
Torrance, CA 90505

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