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West Bank Surgery CenterWest Bank Surgery Center

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Patient Forms

At West Bank Surgery 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.

Advance Directive Acknowledgement

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Surgery Center Brochure

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Balance Billing Disclosure

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Contracted Providers Disclosure

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General Consents/Financial Responsibility

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Multiple Authorization Form

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Patient Rights and Responsibilities

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West Bank Owners

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West Bank Surgery Center
3704 Lapalco Boulevard,
Harvey, LA 70058

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