Patient Registration Forms

The following forms will help to make your registration process faster and eliminate some of the paperwork you would normally fill out in the Center before being seen. Please click on the link for each form. Print the form(s), complete each one and bring it with you on the date of your procedure. If you forget to bring the forms with you, you will need to fill them out at the Center before you can be seen.

Additionally, IOS coordinates with our regular physicians and these forms may be available at your doctor’s office for distribution prior to outpatient procedures.  If you are in the area, we welcome you to stop by and pre-register.  This will save you time on the day of your procedure and allow for the most accurate insurance coordination.

You will need to have Adobe Acrobat Reader installed on your computer to get the forms. If you don't have Adobe Acrobat Reader installed, Click Here follow the prompts.

Registration Information

Pre-Anesthesia Questionnaire.pdf
Pre-Operative Instructions.pdf
Patient Home Medications.pdf
Pain Control Pamphlet.pdf

Financial Arrangements

Financial Agreement.pdf

Patient Rights & Responsibilities

Patient Informed Consent.pdf
Patient Responsibilities.pdf
Patient Rights.pdf

Privacy Notice & Practices

Notice of Privacy Practices.pdf

Audio Message on Patient Rights, Advance Directives, & Physician Ownership Interest

Patient Rights Audio Message
Patient Rights Audio Message Spanish