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Sequim Same Day Surgery - Surgery Pre-Admission Form

General Information - Step 1. ASSIGNMENT OF INSURANCE BENEFITS:. I hereby authorize payment directly to Sequim Same Day Surgery the benefits payable to me, but not to exceed the balance of the charges for this period of treatment. THIS CHARGE FOR YOUR PROCEDURE IS A FLAT FEE FOR THE USE OF THE CENTER. City, State, Zip. Notify In Case Of Emergency. Health Perception and Health Management Pattern. What procedure are you having performed? Side of your body? 1st Responsible Party (First-Middle-Last). Hearing...

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Sequim Same Day Surgery - Surgery Pre-Admission Form | secure.sequimsamedaysurgery.com Reviews

<META> DESCRIPTION

General Information - Step 1. ASSIGNMENT OF INSURANCE BENEFITS:. I hereby authorize payment directly to Sequim Same Day Surgery the benefits payable to me, but not to exceed the balance of the charges for this period of treatment. THIS CHARGE FOR YOUR PROCEDURE IS A FLAT FEE FOR THE USE OF THE CENTER. City, State, Zip. Notify In Case Of Emergency. Health Perception and Health Management Pattern. What procedure are you having performed? Side of your body? 1st Responsible Party (First-Middle-Last). Hearing...

<META> KEYWORDS

1 authorization

2 financial responsibility

3 date

4 signature

5 relationship to patient

6 time

7 patient

8 name last first middle

9 preferred name

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authorization,financial responsibility,date,signature,relationship to patient,time,patient,name last first middle,preferred name,birthdate,phone,street address,telephone number,surgeon,referring physician,left,right,center,date of surgery,physician,yes /

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Sequim Same Day Surgery - Surgery Pre-Admission Form | secure.sequimsamedaysurgery.com Reviews

https://secure.sequimsamedaysurgery.com

General Information - Step 1. ASSIGNMENT OF INSURANCE BENEFITS:. I hereby authorize payment directly to Sequim Same Day Surgery the benefits payable to me, but not to exceed the balance of the charges for this period of treatment. THIS CHARGE FOR YOUR PROCEDURE IS A FLAT FEE FOR THE USE OF THE CENTER. City, State, Zip. Notify In Case Of Emergency. Health Perception and Health Management Pattern. What procedure are you having performed? Side of your body? 1st Responsible Party (First-Middle-Last). Hearing...

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sequimsamedaysurgery.com

Sequim Same Day Surgery Center Staff

http://www.sequimsamedaysurgery.com/providers.htm

Regina McGovern, M.D. American Board of Orthopedic Surgeons (ABOS) Board Certified, Upper Extremity Specialty, CAQ Fellowship Trained. Strait Orthopedic Specialists and McGovern Therapy. Port Angeles, WA 98632. Tel: 360.417.8630. Fax: 360.417.8635. Tristan McGovern, M.D. Sports Fellowship Trained ABOS Board Certified. Port Townsend, WA 98368. Harold Huff, D.pm. Board Certified American Board of Podiatry Surgery. Foot and Ankle Surgery. 777 North Fifth Ave., Suite 101. Sequim, WA 98382. Robert Sudduth, MD.

sequimsamedaysurgery.com

Sequim Same Day Surgery Policy

http://www.sequimsamedaysurgery.com/policy.htm

SEQUIM SAME DAY SURGERY Center is an outpatient surgery center that performs only elective surgeries and performs no high-risk surgeries. Therefore, it is the policy of SEQUIM SAME DAY SURGERY Center not to acknowledge advance directives of any patient while in this facility. 777 North Fifth Ave., Suite 113. Sequim, WA 98382. Phone: 360.582.2632. Fax: 360.582.2631. Open Monday Through Friday. Bull; Our Providers. Bull; Our Staff. Bull; Patient Rights. Bull; Our Policy. Bull; Our Mission.

sequimsamedaysurgery.com

Sequim Same Day Surgery Patient Rights

http://www.sequimsamedaysurgery.com/patient%20rights.htm

Sequim Same Day Surgery. Effective 1/01/2002 - Revised 28/18/2009. Patient Rights and Responsibilities at Sequim Same Day Surgery. The management and staff at Sequim Same Day Surgery desires to acknowledge and honor the basic rights of all individual patients as related to care and treatment that they may receive at SSDS. YOU HAVE THE RIGHT TO:. Privacy as related to:. Diagnosis, treatment, and prognosis. Participate fully in all decisions of consent and refusal of care options. Olympia, WA 98504-7865.

sequimsamedaysurgery.com

Sequim Same Day Surgery Mission Statement

http://www.sequimsamedaysurgery.com/mission.htm

Sequim Same Day Surgery is committed to innovation, growth and excellence of health care; providing surgical and endoscopic procedures to the families of the Olympic Peninsula. Sequim Same Day Surgery will provide expertise and a professional atmosphere for a positive surgical experience for the patients and surgeons. Sequim Same Day Surgery will provide a safe, efficient and cost effective surgical service for Clallam County. 777 North Fifth Ave., Suite 113. Sequim, WA 98382. Phone: 360.582.2632.

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Sequim Same Day Surgery Template

http://www.sequimsamedaysurgery.com/staff.htm

This Page is Under Construction. 777 North Fifth Ave., Suite 113. Sequim, WA 98382. Phone: 360.582.2632. Fax: 360.582.2631. Open Monday Through Friday. Bull; Our Providers. Bull; Our Staff. Bull; Patient Rights. Bull; Our Policy. Bull; Our Mission. 2009-2012 Sequim Same Day Surgery, Inc. Website hosted and maintained by Strait Web Solutions LLC.

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Sequim Same Day Surgery Center Home Page

http://www.sequimsamedaysurgery.com/index.htm

Welcome to Sequim Same Day Surgery, Inc. Located at 777 North Fifth Avenue in Sequim, Sequim Same Day Surgery is an ambulatory surgery center which opened in March of 1983 by a group of physicians who desired to provide outpatient services to the families of the Olympic Peninsula. General, Regional and Local Anesthesia. Upper and lower extremity. Extractions under General Anesthesia. 777 North Fifth Ave., Suite 113. Sequim, WA 98382. Phone: 360.582.2632. Fax: 360.582.2631. Open Monday Through Friday.

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Sequim Same Day Surgery - Surgery Pre-Admission Form

General Information - Step 1. ASSIGNMENT OF INSURANCE BENEFITS:. I hereby authorize payment directly to Sequim Same Day Surgery the benefits payable to me, but not to exceed the balance of the charges for this period of treatment. THIS CHARGE FOR YOUR PROCEDURE IS A FLAT FEE FOR THE USE OF THE CENTER. City, State, Zip. Notify In Case Of Emergency. Health Perception and Health Management Pattern. What procedure are you having performed? Side of your body? 1st Responsible Party (First-Middle-Last). Hearing...

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