Once your appointment with St. Charles Surgery Center is scheduled, please print and complete the following patient forms. This information will help our clinical team to prepare for your surgery.
These forms may be better viewed with Adobe Reader. Download it free.
Most of us believe that our medical and other health information is private and should be protected, and we want to know who has this information. The Privacy Rule, a Federal law, gives you rights over your health information and sets rules and limits on who can look at and receive your health information. The Privacy Rule applies to all forms of individuals’ protected health information, whether electronic, written, or oral. The Security Rule is a Federal law that requires security for health information in electronic form.
Talk to your health care provider about how to treat your pain and create a safe and effective plan that is right for you. You may click here for important information regarding the use of prescribed opioids.
