Patient Forms

Patient Forms

Please click on the links to access the desired forms. Patient forms can be filled out online, then printed and brought to your appointment. Please save a copy and print for your records as well.
If you have previously downloaded the form to your computer, you may simply update, print and bring it to your appointment.
Please bring to your appointment:

1. Filled out forms 

2. All medications including those prescribed, over-the-counter, and vitamins taken. 

3. Insurance cards. (It is the patient's responsibility to check with insurance carrier for our doctor's participation in your plan).

4. Co-pay is expected at the time of service. 

5. Photo ID (driver's license, passport, student ID)  

NEW PATIENTS FORMS

New Patient Packet Billing Policy

ESTABLISHED PATIENT FORMS

Patient Information Form Medical History Form

MISCELLANEOUS PATIENT FORMS

Notice of Privacy Practice
Contact Findlay Surgical Associates to learn more about robotic surgery.
We are committed to providing you with the highest quality care. 

We have over 80 years of combined experience.
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