What to EXPECT before surgery

• A staff member will contact you prior to your visit. This will ensure that your pre-operative instructions and  tests are complete and your financial matters are addressed before surgery. 

• We understand the anxiety family and friends will have while you are having your procedure. We will make every effort to keep them informed of your progress and when they will be able to re-join you after the procedure.

• Our staff will keep things moving on time. We realize that time is a precious commodity for you, your family and your surgeon. We are constantly measuring and monitoring our performance and processes to ensure that we do not waste your valuable time.

• We will handle your financial matters properly and professionally. We will work with your insurance company to expedite your claim for the charges from your procedure. Please remember that your physician fees are separate from the surgery center fees.
  

• Our staff will provide you high quality, professional service. We believe that providing high quality care and service consistently requires a constant focus on improving the processes that we use every day.

Patient Documents

These documents are provided for your conveninece to fill out in the comfort of your home. These forms require your signature prior to surgery.  Please print, complete, and bring with you on or before your date of service. Duplicates will be available at the hospital.   Note you will need Adobe Acrobat Reader to open these documents.

• Information Forms
  • This informational packet is for your review only.  The packet contains our Privacy Notice, Patient Bill of Rights & Responsibilities, and our Advanced Directive Brochure.  If you need further assistance regarding these topics, you may contact our Admitting Department at 281-243-1000 for advisement.
• Signature Documents

Directions:

1. Financial Agreement (p. 1) - please initial, sign and date.
2. Patient's Preferences Regarding Their PHI (p. 2) - please complete the entire form, letting us know how to reach you and your confidentiality preferences.  Sign and date the bottom of the page.
3. Medicare Secondary Payer Questionnaire (p. 3-7) - this form only needs to be completed if you are a Medicare eligible beneficiary.    
4. Important Message from Medicare - (p. 8-10) - this form only needs to be signed if you are a Medicare eligible beneficiary registering for an INPATIENT stay. 

If you need assistance completing these forms, you may contact our Admitting Department at 281-243-1000 or wait until you pre-register.