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

Notice of Privacy Practices

Information of Separate Billing Notice

Mission, Vision and Values

Multiple Authorization

Patient Information Guide

Patient Registration

Patient Rights and Notification of Physician Ownership

Request for Anesthesia