Patient Forms
To make your visit as smooth and efficient as possible, Specialty Surgical Associates provides all necessary patient forms online. Completing these forms before your appointment helps us better understand your medical history, current health, and treatment needs — and reduces wait times at check-in.
Questions on how to use forms?
Available Patient Forms
New Patient Registration Form
Provide your personal information, contact details, and basic health history.
Bariatric New Patient Form
New Patient Registration Form
Share your complete medical background, including past illnesses, surgeries, and allergies.
HIPAA Privacy Authorization
Review and acknowledge our privacy practices and patient rights.
Consent for Treatment
Authorize office visits, procedures, and routine care.
Financial Responsibility Form
Understand your insurance coverage, co-pays, and billing policies.
Medication List Form
Record current prescriptions, supplements, and dosages.
Surgical Intake Form
Required for patients scheduled for surgery to review your medical and surgical history.
Follow-Up & Post-Operative Instructions
Guidelines and instructions to support recovery after procedures.
How to Use the Forms
- Click the links to download each form.
- Fill out the forms completely and legibly.
- Bring completed forms to your appointment or submit them electronically if available.
- Contact our office if you have questions or need assistance completing any form.
Tip: Completing forms ahead of time saves you time during check-in and ensures your care team has all the information needed to provide safe, personalized treatment.
Take the First Step Toward Expert Surgical Care
Don’t wait to get the expert care you deserve. Our board-certified surgeons provide personalized, compassionate treatment across bariatric, colorectal, and general surgery. Schedule a consultation today to take the first step toward better health and improved quality of life.