Patient Rights

Advance Directive-Living WillPDF

Practitioner Orders for Life Sustaining Treatment POLSTPDF

Disclosure Of Physician Financial InterestsPDF

Patient Discharge WaiverPDF

Patient’s Bill of RightsPDF

Notice of PrivacyPDF

Patient Rights and Responsibilities – EnglishPDF

Patient Rights and Responsibilities – SpanishPDF

Cigna, United/Oxford, Aetna, QualCare,Horizon In-Network PaymentPDF

Limited English ProficiencyPDF

Transparency in HealthcarePDF

Acknowledgment of Selection of Out-Of-Network Provider ServicesPDF

Notice of NondiscriminationPDF

FOR ANESTHESIA SERVICES

University SurgiCenter complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.