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Sunrise Ambulatory Surgical CenterSunrise Ambulatory Surgical Center

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Patient Forms

At Sunrise Ambulatory Surgical Center, your time is as valuable to us as it is to you. Upon scheduling your surgery, a member of our staff will provide you with the required forms to fill out. We encourage you to take time to complete these before arriving on day of surgery, so that we may care for you promptly. If you happen to misplace any of the provided forms, duplicates are available for download and print below.

Payment Schedule

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Financial Hardship

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Authorization to Release

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Revocation of Release

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Patient Booklet

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Treatment of a Minor

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Keeping You Safe During COVID-19 How To Prepare For Surgery Patient Forms Insurance and Billing CareCredit How to Request Records Healthy Living Frequently Asked Questions Request an Appointment
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Sunrise Ambulatory Surgical Center
5448 South White Mountain Blvd, Suite 100,
Lakeside, AZ 85929

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