A joint ventured center of surgical excellence

303-938-5470
4740 Pearl Parkway
Suite 100
Boulder, CO 80301
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Patient Information Forms / Notices and Policies

New Patient Guides and Forms

— please review the following forms before arriving at Boulder Surgery Center

 

ACA Nondiscrimination
(Download PDF)

Advance Directives
(Download PDF)

Boulder Surgery Center Welcome Letter
(Download PDF)

Financial Policy
(Download PDF)

Frequently Asked Questions
(Download PDF)

HIPAA Notice of Privacy Practice
(Download PDF)

Patient Rights Responsibilities
(Download PDF)

Physician Ownership Disclosure
(Download PDF)

Presurgical Billing- Financial Info
(Download PDF)

Surprise Billing Disclousure
(Download PDF)

 

 

 

 

 

 

 

 

 

 

en español

Derechos Y Responsabilidades Del Paciente

(Download
PDF)

Notificación de Prácticas de Privacidad HIPAA

(Download
PDF)