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Surgery Center of South Central KansasSurgery Center of South Central Kansas

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Patient Forms

At Surgery Center of South Central Kansas, your time is as valuable to us as it is to you. Upon scheduling your surgery, a member of our staff will provide you with the required forms to fill out. We encourage you to take time to complete these before arriving on day of surgery, so that we may care for you promptly. If you happen to misplace any of the provided forms, duplicates are available for download and print below.

Financial Agreement

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Notice of Privacy Practices

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Patient Medication Reconciliation (Medication List)

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Patient Rights and Notification of Physician Ownership

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Surgery Center of South Central Kansas
1708 East 23rd Avenue,
Hutchinson, KS 67502

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