Below you will find a complete list of forms that will be required in order to provide treatment. All forms are downloadable in PDF format; please print and complete.Patient Information FormEnglish | SpanishPatient Disclosure PackageEnglish | SpanishPre-Operative InstructionsEnglish | SpanishPre-Anesthesia QuestionnaireEnglish | SpanishAuthorization for Release of InformationFinancial PolicyPre-Op Medical Clearance for General Anesthesia Form
On the day of surgery, please bring Guardian Photo Identification and Dental and Medical Insurance Cards.If you have any questions, please feel free to contact us at (760) 396-5733 or email us at info@IndioSurgeryCenter.com
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Indo Surgery Center | 46900 Monroe Street #B201 Indio, California 92201 | Call: (760) 396-5733