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 Form
Medical Clearance Form
Authorization for Release of Information
Latex Allergy Questionnaire
ISC Financial Policy
Notice of Privacy Practices
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
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
Indo Surgery Center | 46900 Monroe Street #B201 Indio, California 92201 | Call: (760) 396-5733