Patient Forms


Forms You May Need

Advanced Directives

You the patient or, as appropriate, your advocate (representative) have the right to make informed decisions regarding your medical care PRIOR to any medical care. An Advanced Directive is your written instruction for the medical treatment you want in the event that you become unable to communicate your wishes. If you have completed such a document (Advanced Directive, Living Will and/or Durable Power of Attorney for Health Care), please bring a copy for your medical records. If you have not completed such a document and would like further information, you may come to the Southwest Surgical Center prior to your surgical date and we will provide you with the necessary documentation in paper form. You may also visit the following website which will answer your questions and provide you with the necessary forms:
Advanced Directives 

Registration Consent

Patient Rights and Responsibilities

Notice of Privacy Practice

Checklist Before Leaving Home