We appreciate the opportunity to provide your healthcare needs. These policies are intended to allow us to provide health care services to as many patients as possible in a timely manner.
Forms & Policies
Our forms are in Adobe format. You may download Adobe Reader for free at www.adobe.com.
- Patient Bill of Rights [pdf]
- Notice of Privacy Practices [pdf]
- Notice of Privacy Practice Consent Form [pdf]
- Pre-Anesthesia Questionnaire [pdf]
- Pre-Anesthesia Questionnaire (Spanish) [pdf]
- Non-Discrimination Policy [pdf]
- Request for Restrictions on Use & Disclosure of Protected Health Info. [pdf]
About Insurance
The Surgery Center of Dallas accepts most insurance plans. If you have a question regarding coverage, please contact our Business Office at (214) 819-9631.
