Patient Rights
Patient Rights and Responsibilities – English
PDF
Patient Rights and Responsibilities – Spanish
PDF
Limited English Proficiency
PDF
Notice of Nondiscrimination – English
PDF
Notice of Nondiscrimination – Spanish
PDF
Surprise Billing – English
PDF
Surprise Billing – Spanish
PDF
Advance Directive-Living Will
PDF
Practitioner Orders for Life Sustaining Treatment POLST
PDF
Disclosure Of Physician Financial Interests
PDF
Patient Discharge Waiver
PDF
Notice of Privacy
PDF
Cigna, United/Oxford, Aetna, QualCare, Horizon In-Network Payment
PDF
Transparency in Healthcare
PDF
Acknowledgment of Selection of Out-Of-Network Provider Services
PDF
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.