Medical Forms
For your convenience, the forms below are available online (in PDF format) for you to complete prior to your appointment. If you complete them online, please print them from your printer and bring them with you for your visit:
- Patient Registration Form (Printable)
- Patient Medical History
- PHI Authorization
- Financial Policy
- Notice of Privacy Practices
- Notice of Privacy Practices – Acknowledgement
- Motor Vehicle Accident & Personal Injury Billing Policy
- Seattle Surgery Center Handbook
Post Op Instructions
Many people ask about what to expect after surgery. We put together an overview for some of the most common procedures just for this purpose. If you have questions, please feel free to call. You will be given these instructions in your surgery packet.
Anterior Cervical Fusion (PDF)
Lumbar Discectomy or Laminectomy (PDF)
Lumbar and Thoracic Fusion (PDF)
Bill Pay
Medical Records
As one of our patients, you may request a copy of your health information at any time.
How to Request Access to Your Medical Records
Complete this online request form with direct submission to our release of information vendor, Datavant.
***Your Proliance Care Center may have a patient portal allowing you to obtain a digital copy of your medical records.***
