The surgery center will verify your insurance benefits and obtain any necessary authorizations. You should be aware, however, that this does not necessarily ensure payment by your health plan. We encourage you to familiarize yourself with the benefits applicable to the procedure you will have performed at our center. You will be called and informed of your financial responsibility prior to your scheduled procedure date.

Payment of that portion of the facility charge not covered by your insurance company will be required on the day of your procedure. Cash, checks and credit card payments are accepted. If you anticipate difficulty with your bill, please let us know before your procedure so that we can work together to establish a fair solution.

It is imperative for your safe recovery that your physician and anesthesia provider are aware of your complete health history and current health status. Please be forthcoming with any health issues that may impact your safety, i.e.; heart and/or lung problems, diabetes, obstructive sleep apnea, drug resistant organisms, a history of infection, and so forth. Notify your physician if there is any change in your physical condition, such as a cold, fever or flu symptom. If there is a chance you are pregnant, please notify your physician immediately.

Arrange for a responsible adult to come to the center, receive your post-procedure instructions, take you home and stay with you at least overnight following your procedure if you are scheduled for a general or sedation anesthetic. You are not permitted to drive yourself home after receiving any anesthesia.

All patients are asked to read and complete a consent form for their procedure. Make sure you understand the risks and benefits of your procedure and the risks of not having your procedure done. Ask your physician if this is not clear to you. In the case of a minor child or dependent adult having a procedure, a parent or legal guardian must do the following:

• Sign the consent
• Bring documentation of guardianship to the center on the day of procedure
• Remain on premises during the procedure

Communication between the patient and surgery center is necessary. A communication representative can be arranged either by the patient or the surgery center if the patient cannot read, cannot speak English, uses sign language or has any difficulty in communicating.